THE HEALERS WAR [065 5.0]
BY ELIZABETH ANN SCARBOROUGH
Synopsis:
Very realistic and chilling novel of an army nurse in Vietnam. Kitty finds herself alone in enemy territory with a crippled Vietnamese child, her only protection a mysterious amulet given to her by an ancient Vietnamese wise man. The touch of fantasy keeps this book from being a true nightmare. The author was a nurse in Vietnam herself and the descriptions in this novel are not for the squeamish.
Dedication This book is specifically for Lou Aronica, who asked the right questions.
It is also for my fellow Vietnam veterans, living and dead, male and female, military, civilian, and pacifist, American, South Vietnamese, North Vietnamese, Australian, Dutch, Laotian, Cambodian, Montagnard, Korean, and Chinese. And for our children, in hopes of arming them with hard questions to ask leaders selling cheap glory.
The perspective, extrapolations, fantasy elements, and selection of story material in this novel are entirely my own. This story is a work of speculative fiction, not an autobiography, although some of the more mundane aspects and background are based upon my own experience as a nurse in Vietnam. This work does not, however, claim to be representative of the viewpoint of any group or of any other person but me. However, I have obtained nonjudgmental help, support, information, and reference materials from the invaluable sources listed below.
I would most especially like to thank John Swan for generously sharing his experience as a field medic, combat soldier, Vietnam Veterans Outreach Center counselor, and human being, for helping me cope with the initial stages of this book, and for introducing me to the Fairbanks Combat Veterans Rap Group. Another debt is owed to a Vietnamese lady whose perspective was of real help but who prefers to remain anonymous.
Thanks also to Mack Partain; Megan Lindholm; Dr. Sharan Newman; Dr.
Peter Cornwall; janna Silverstein; Karen and Charlie Parr, my parents; Don and Betty Scarborough, my agent; Merrilee Heifetz, her assistant; Kathilyn Solomon and others at Writers' House; and Walt Williams of the Seattle Vietnam Veterans Outreach Center. In addition, I owe a great debt to all of the veterans who have been courageous enough to tell their stories, whether they thought what they had to say would be acceptable or not. Without their example I would not have been able to write my story. Particular thanks to Lynda Van Devanter, author (with Christopher Morgan) of Home Before Morning; to Cheryl Nicol, a portion of whose story is in 4 Piece of My Heart; to Patricia L. Walsh, author of the novel So Sad the Hearts, based on her experiences as an American civilian nurse who treated Vietnamese patients in Da Nang; and to Huynh Quang Nhuong, author of The Land I Lost, a portrait of the author's boyhood in rural Vietnam before the war. Also thanks to those who collected the stories of other veterans: Keith Walker for the excellent 4 Piece of My Heart; Kathryn Marshall for In the Combat Zone; Stanley Goff and Robert Sanders for Brothers: Black Soldiers in the Nam; Wallace Terry for Bloods; and Mark Baker for Nam, among many others. I owe special gratitude to Robert Stone for suggesting Dispatches by Michael Herr, to Shelby L. Stanton for advice on technical aspects of the story (all mistakes are purely mine, however), to Frances FitzGerald's Fire in the Lake, and to Jeanne Van Buren Dann and Jack Dann, editors of In the Field of Fire, for suggesting that writers of fantasy could have anything to say about Vietnam.
Glossary Author's Note Spellings are phonetic and meanings are approximate, not literal, translations. Many terms are not actually Vietnamese but pidgin. My apologies to any Vietnamese speakers for inaccuracies. I wish I had had your assistance when compiling this.
Ba: Vietnamese term for a married woman.
Bac si: Vietnamese term for a doctor.
Beaucoup: French for "much" or "many," used in pidgin VietnameseEnglish.
Bic. Vietnamese term for "understand." (Bicced is author's Americanizing of past tense.)
Cam ong: Vietnamese term for "thank you."
Cat ca dao: Vietnamese term meaning "cut off head."
Chung wi: Vietnamese term for a lieutenant.
Co: Vietnamese term for an unmarried woman or girl.
Com bic?: Vietnamese term for "Come again?" or "I don't understand."
Dao: Vietnamese term for "head."
Dau: Vietnamese term for "pain."
Dau quadi: Vietnamese term for "much pain." (Dau quadied is author's Americanizing of past tense.)
DEROS date (military jargon): The day a person can leave an assignment; in Vietnam, when one leaves country.
Didi or didi mau: Vietnamese or pidgin used often by GIs and Vietnamese; approximate meaning "Go" or "Go quickly."
Dinky dao: Vietnamese or pidgin for "crazy."
Dung lai: Vietnamese term for "Stop."
Em di: Vietnamese term for "Shut up."
La dai: Vietnamese term for "Come here." (La daied is author's Americanizing of past tense.)
Mao: Vietnamese term for a cat.
Mao hey: Vietnamese term for a tiger.
MOS: Military Occupational Specialty.
Sin loi: Vietnamese term for apology.
Tete or titi: Pidgin for French word petit.
TPR: Temperature, pulse, and respiration.
Triage: As used in medical emergency situations, this term refers to the process of sorting victims of a mass casualty situation or disaster into categories,. e., those who can be treated and released, those who can be saved by quick intervention, and those who will need more extensive help if they are to recover. The last category are those so seriously injured they will probably die without immediate, extensive care and may die anyway. In triage situations, patients are treated in the order listed, the worst injuries requiring the most care left until last so the greatest number of people can be treated.
Prologue The nightmares have lost some of their power by now. I can haul myself out of one almost at will, knowing that the sweat-soaked sheet under me is not wet jungle floor, that the pressure against my back is not the barrel of an enemy rifle or a terribly wounded Vietnamese but my sleeping cat. When someone in a suit or a uniform frowns at me, it doesn't always make me feel as if the skin over my spinal column were being chewed away by pointed teeth. Sometimes I can
*just shrug, and recognize the authority in question as an uptight asshole with no legitimate power over me-none that counts, that is, nothing life-threatening.
Still, most of the time, I retain the feeling that it's the nightmares that are real and my life here and now that is a dream, the same dream I dreamed in the hospital, in the jungle, in the Vietcong tunnels. I'm always afraid that someday I'll be dragged out of this dream, back to Nam, to a war that goes on and on for real in the same way it replays itself in my memory.
"That is what stops your power, Mao," Nguyen Bhu tells me. "You cannot provi 'de a clear path for the amulet's power until your own mind is clear. When you turn your face from your fear, that fear bloats with the power you give it. Look it in the eye, and it will diminish into something that is part of your life, part of your memory, something that belongs to you rather than controls you."
Nguyen Bhu sweeps the floor at his cousin's grocery store. Charlie says he's a former Cao Dai priest, a mystic like old Xe, and the wisest man to escape from Vietnam. He is sixty and looks ninety, has lost three fingers from his right hand, has more sense and is far less expensive than a psychiatrist whose lifelong concern has been to avoid obesity rather than starvation.
And most important, Nguyen Bhu knows what I have to say, and insists that it is not too much to ask people to believe and forgive. Charlie knows part of it, but he has his own nightmares to chase. Of the others who know, I keep hoping that at least one or two survived, and that someday I might see and recognize them among the refugees. One hope I have in writing this is that maybe they will read it or hear of it and find me, and we can heal together.
I didn't know old Xe was a magician the night I began to be iaware of his powers. If anybody had told me there was anything magical going on that night, I'd have told them they were full of crap, and assumed they either had a sicko sense of humor or had been smoking too much Hanoi Gold.
I was in the worst trouble of my life, to date, and had brought someone with me. An eleven-year-old kid lay comatose, barely breathing, on the bed by my chair.
Every fifteen minutes I repeated the same routine.
Right arm, right leg, left leg, left arm, I pulled up a spare lump of flesh from each of the little girl's limbs and pinched hard, silently daring her to kick me or slug me. Then I ground my knuckles into her chest, counted to ten, and prayed for a sign of pain.
A kick or a slap, a whimper or a wiggle, even a grimace would have gladdened my heart. But the kid just lay there, her disproportionately long limbs limp as wet rags, her breathing so shallow that it barely stirred her skinny ribs a quarter of an inch up or down.
I peeled back her eyelids one at a time and dazzled them with the beam of my flashlight, checking to see if the pupils contracted at the same rate, to the same size, or if they expanded at all. If they stayed fixed, or if one was the size of a dime while the other stayed the size of a pencil lead, both of us were in truly deep shit. I had to try them five or six times before I could be sure they were not contracting more slowly than they had fifteen minutes before. I'd been performing this same cruel routine continuously since she had been wheeled back from O.R., already deeply unconscious. Thank God, they had not yet anesthetized her for surgery.
"Come on, baby, come on," I prodded her encouragingly, as if she were my kid up to bat at a Little League game, and pumped up the blood-pressure cuff that circled her skinny upper arm. I had to pump it and release it three times before the faintest throb of pulse came through the membrane of my stethoscope. Partly that was because her pulse pressure was so weak. Partly it was because the papasan in bed five had started up again.
"Dau quadi," he whined ("much pain"), twisting in the padded cuffs binding him to the side rails. He sounded like a night in a haunted house, with the rails rattling like hail on windows, his sheets thrashing like those of a particularly agitated ghost, his bedsprings squeaking like unoiled ancient portals.
"Dau quadi!" he shrieked this time, his voice shrill with the hostility head injuries inevitably display when and if they start to heal.
All eleven of the patients then on ward six, the neurosurgery ward, were Vietnamese with some kind of trauma to the head. Most of them were civilians, war refugees. Before, we'd had two poor GIs on Stryker frames. One was a gork-a vegetable, who didn't know that he wouldn't ever move by himself again. The other guy wasn't so lucky. Both of them had been medevaced to Japan that morning, so tonight there were just Vietnamese on this side, them and George, the corpsman, and me. Ginger Phillips, who was officially in charge of the graveyard shift that night for ward six, was staying on the other half of the ward, across the hall. The EENT patients were over there, injuries and ailments of the eyes, ears, nose, and throat, a couple of GIs with sinus infections and a couple more with superficial facial wounds, as well as elderly Vietnamese suffering from cataracts and facial cancer. Men and women were mixed together on both open wards, which was true throughout the hospital. On most wards the division was between GIs and Vietnamese instead.
Papasan dau quadied again and the old man in the next bed stirred restlessly. I pulled my stethoscope out of my ears.
"Can you shut papasan up, George?" I asked. "I can't hear a damned thing for the racket."
George nodded, rose from his semislumped comic-book-reading position, and lumbered sleepily down the aisle between the beds. I waited while he threatened in a gentle, soothing voice to do hideous things to the old man, pulled the gnarled and squirmy body up in bed, and smoothed the sheets. Then I tried again. I could hear the systolic140-but the diastolic eluded me until the second reading-it was 60. Up 6 points from the previous reading. A widening pulse pressure-the difference between the first throb I heard and the last-was a sign of increased intracranial pressure. But last time the spread had been 144/ 52, so it had decreased slightly. I hoped I could take that as a good sign.
The girl's respirations were still so slow and shallow I had to Measure the movement of her ribs against the sheet to be sure she was breathing.
Her right radial pulse, before slowed to 50, was now 56, but that was not necessarily a good sign. As the pressure on her brain increased, her pulse might start racing as her squashed brain sent wild signals to her heart, panicking it into an essentially useless flurry of activity.
I took pulses in both wrists, at both ankles, and at her carotid pulse, at the base of her jaw. They were within two points of one another.
Her Foley catheter was still draining urine from her bladder, her I.V.s were still dripping on course. I wrote everything down on the chart at the end of the bed, sat on the metal folding chair, and used a towel to wipe the sweat off my face and neck.
The sweat wasn't just from the heat. It was from fear: fear that this child was going to die and I was going to have to live with it, and with myself. The fear soured in my throat and I leaned forward again and took her hand. It was clammy with sweat. How could I measure intake and output when she was sweating gallons like that, poor baby?
Her bald head was bandaged with a strip of white gauze, like an Indian headband, and her face didn't look like a child's. It looked like death, the high cheekbones jutting through the shiny flesh like carnival apples bleeding through caramel.
Her original problem was a depressed skull fracture. She'd tumbled off a water buffalo, something Vietnamese kids always seemed to be doing. I only wished the water buffalo had sole responsibility for her current condition. But unfortunately for us both, the poor kid had fallen right off that water buffalo into the hands of a numskull nurse, namely, me.
Now I was waiting to see if my carelessness had turned her simple, easily treatable injury into something that was going to kill her or make a zombie out of her.
I forced myself not to brood about how unfair it was, not to worry about what they would do to me if she died, or about what I could have done to prevent it.
Instead I held on to her hand and, in my mind, held on to her spirit, apologizing over and over and begging her to stay. "Tran, come on now, baby, keep it together. You know Kitty didn't mean to hurt you, and she's sorry, honey, she's really sorry. Just come on back. That shit of a doctor will fix your head and your hair will grow back and you can go back to mamasan and papasan and eat that bad old water buffalo, okay?
Aw, hell, sweetheart, I'm so sorry.........
The old man in the next bed, another depressed-skull-fracture case, with bilateral above-the-knee amputations, shifted slightly in bed so that his head lolled toward us. His name was Cao Van Xe, according to the strip of adhesive that had been taped to his wrist. His arrival had caused something of a stir. Some idiot with Special Forces had called a chopper out to a really hot landing zone just to load this one old man, who was probably going to die pretty soon anyway. The pilot had given the redheaded GI who loaded the old man a piece of his mind, but the man had grinned and waved and walked back into the bush. The object of all this dissension slackened his lower jaw so that it seemed to drop into a grin.
"What's with you, papasan? You think I'm as dinky dao as you, huh?"
Maybe it did sound crazy to be carrying on a monologue with first one comatose patient, then another, but in nursing school they taught us that hearing is the last sense to go, the first to kick back in. So I always chattered at my unconscious patients, telling them what I was doing, commenting on what was happening, and musing on life in general, as if talking to myself.
Papasan's breath emerged in a sort of groan, and I turned in the chair and leaned toward his bed, touching his bony hand. "You okay, papasan?"
His other hand fluttered like a bird to his neck and touched what I figured was a holy medal. To my surprise, the hand under mine twisted and caught my fingers for a moment before sliding back to lie flaccid on the sheet.
Well, good. At least somebody was responding. I patted his hand again and turned back, a little more hopefully, to Tran.
No dice. She hadn't stirred. Her breath was inaudible. I held on to her hand with both of mine and concentrated. I had done this before, while trying to hang on to someone who was dying, collecting my strength, and any other strength I could suck from the atmosphere, God, or whatever, building it into a wave and flooding it through my hands into that person, almost as if I could wash her back to me, back to herself. She lay there quietly, and when I pulled my hands away, her small pale ones had red marks from the pressure of my fingers.
George clomped up, large and olive-drab, his walrus mustache drooping damply at the ends. "How's it going?" he asked.
"Not good," I told him. "BP's a little better, I think. It's about time for an encore."
"I'll do it, Lieutenant. You get a cup of coffee, why don't you? I just made some."
"Thanks, but I'll do it."
He shrugged and clomped back to the nurses' station.
As soon as his back was turned I leaned over Tran again, but when I looked into that vacant little face I just lost it. My calm, I'm-incharge professional mask, the one no nurse should be without when on duty, dissolved. I had to pretend I was wiping sweat away again.
Then I repeated my routine: vital signs, neuro checks, and as many prayers as I could fit in between.
The prayers were for Tran, because I didn't know anything else to do, not because I'm this holy, religious person. Like all my family, I've always been a lukewarm, nonchurchgoing, nonspecific Protestant. People like us pray only on ritualized occasions, like funerals, and when there's a really big crisis. It isn't nice to pray for something you want for yourself, according to my upbringing, and God expects you to help yourself most of the time. But this was for Tran, not for me-not mostly. Well, not only me, anyway.
Maybe that was the trouble. Maybe God wasn't listening because my heart was not pure. Every time I squeezed my eyes shut and started mumbling humble apologies for my sin and error I ended up snarling that it wasn't all my fault. Even though I knew damned good and well I was going to have to take the whole rap. Despite the fact that pre-op orders were supposed to be written, pre-op medications and all narcotic medications double-checked and double-signed. But our high-andmighty new neurosurgeon had handed down his commands to our high-and-mighty new college-educated head nurse, the twit, who had demanded that I do it, damn it, didn't I know enough to give a simple pre-op?
I should have. I'd done it often enough. But not pediatric doses, and not on head injuries, not that often. I hadn't been giving meds long on this ward. And I was so mad at their sheer goddamned pompous arrogance that I kept jumbling it up in my head. I was mad a lot in Vietnam. My best mood, in the heat, with the bugs, and the lack of sleep, and these gorked-out patients, was cranky. But that day I had gotten so mad that
.25 ce of Phenergan turned itself into 2.5 ce of Phenergan. And I gave it to Tran.
As soon they came to take Tran to surgery, I got to thinking that that had looked like an awful lot of Phenergan. By then the doctor was on his way off the ward and the head nurse was in a more human frame of mind and I asked her. . . .
Had Tran been anesthetized already, she would have certainly died. The overdose I had already given her, combined with her head injury, was potentially lethal as it was. She was quiet as death when she returned to the ward, and I had been at her bedside ever since, watching for some sign of reprieve for both of us.
I couldn't just blame the doctor and Cindy Lou for the orders. I had to blame myself, too, admit that maybe I was getting rattled, after three long months in what was vulgarly known among staff members as "the vegetable patch." Maybe it was the Army's fault for sending a sweet young thing like me to Nam. But one thing for sure: it wasn't Tran's fault, and she was the one who was going to die. I tried to explain all of that to God to account for the impure static in my prayers.
Unfortunately, there were a lot of distractions that kept me from formulating a really good defense.
"Beaucoup dau!" This time it was bed seven, a fourteen-year-old boy whose Honda motorbike had collided with a tractor-trailer unit. The boy had a broken arm as well as a busted head. Once more George's jungle boots slapped wearily down the concrete floor.
Somewhere in the distance, mortars crumped. Outgoing. I knew the difference now: what was incoming, what was outgoing. After 124 days in country, I was fairly blas'e about anything that wasn't aimed specifically at me, despite the fact that another nurse had been killed by a piece of a projectile just before I arrived in Nam. Mortars bothered me no more than receding thunder, ordinarily.
But, God, it was hot! This had to be the only country in the world that didn't cool off at night. I finished Tran's neuro checks and vital signs again and tried to touch my toes with my fingertips. My uniform was sticking to my skin and my hair stuck out at all angles, I had run my hands through it so much.
Pain boomed through my skull louder than the mortars and probed at the backs of my eyeballs. The odors of the ward were making me faintly nauseous. The smell of disinfectant and an Army bug spray so strong that when I accidentally used it on the telephone it melted the plastic was bad enough.
But the reek of pot drifting in from the Vietnamese visitors' tent, a shelter set up between the neuro side of ward six and the generalsurgery side of ward five for the families of our critical patients, was potent enough to give an elephant a contact high from half a mile away.
At least the disinfectant and the pot smoke covered up the aroma of the scenic beach, which stretched beyond the hospital perimeter, between the barbed wire and the South China Sea. It was off limits to us because it was used as a latrine by the residents of the villages on either side of the compound.
The smells were something everyone complained about a lot. When George had gone on his R&R to Australia, he said he'd felt light-headed getting off the plane and figured out it was because he wasn't used to clean air anymore. He said he had to poke his nose into a urinal for a while until he could adjust to the change in air quality.
My own headache made me wonder about how Tran's head felt, with all that pressure in her brain. By now the bone fragment pressing into her head could have been gently lifted, she could have been recovering.
Since they'd brought her back, I'd replayed the scene in my head hundreds, thousands of times, hearing bits of their snippy put-downs.
Next time they could write down their goddamned orders as they were supposed to, so a person could read them, or give the medicine themselves, and the hell with Army wrist-slapping and nasty pieces of paper with snotty words like "insubordination." Better to go head to head with them than this. At the same time, in the back of my mind an accusing voice wondered if I hadn't overdosed Tran while entertaining some adolescent subconscious desire to "show them"-Chalmers and Cindy Lou-what happened when they didn't listen to me. The idea scared the hell out of me, and I shoved it away. I was a nurse, a helping person, a healer. The whole thing was a mistake. I hadn't realized the difference in dosages. I'd never harm a patient out of spite.
Gutlessness, maybe, being too chicken to challenge orders until I was sure of what I was doing, but that was different, even if the results were the same. Sure it was.
She had to live. She had to. What in the hell could I do to get some response out of that floppy childish body? The hard thing about somebody you've met only after they've nearly been brained is that you don't have any idea what you can promise them to induce them to do what you want. What did this kid like? What was her favorite color, her favorite toy? Did she even have any toys? Was a water buffalo a Vietnamese kid's teddy-bear substitute? How would she look in a pretty dress? Would she get a kick out of wearing a funny hat while her hair grew back? Would her hair have a chance to grow back?
And why in the hell would she listen to me anyway? I tried to concentrate on my prayers, visualizing not some holy heavenly father in a long white beard but other patients I had been close to, people I had comforted as they died. Nice people. I saw their faces as if they were watching over Tran with me. Mr. Lassiter, a kind man with a daughter a year ahead of me in nurses' training. When the doctor told him he had lung cancer, I'd held him in my arms while he cried and tried to get used to the idea. Later, when the cancer bit into his brain and he began doing weird, sometimes obscene things, I led him back to his room and talked to him and soothed him while he talked nonsense, and I remembered who he really was while he acted in ways that would have mortified him if he'd known. Mr. Franklin, an incontinent old man who was in a coma with a high fever all the time I cared for him, but who made me wonder, until he died, where he really was, and was he feeling the pain of the hideous bedsores that ate up skin and fat and muscle.
And the baby born with its insides so scrambled we couldn't tell if it was a boy or a girl, but whom I rocked and eventually persuaded its mother to rock before it died. Those people were who I was really asking to help Tran-them and the handful of my own friends and relatives who had died before I came to Nam. I thought about all of those people, visualizing them as a cross between ghosts and angels, relieved to be free of suffering and looking down at us with a sort of benign apterest.
They wouldn't be overly anxious to have anyone, especially a child, join them prematurely. "Do me a favor, folks," I urged them. "Nudge her back this way."
Old Xe stirred, and I realized I'd been babbling aloud. I stood and stretched, my bones creaking louder than the mortars, and leaned over him. He didn't seem comatose now so much as dreaming. The fingers of his right hand still gripped the medal thing to his hairless chest. He mumbled a word and groped toward me with his left hand. I thought again of Mr. Lassiter, who mistook me for his daughter in vaguer moments, and gave papasan my hand to hold. He grasped it with a power that was surprising in someone whose bones looked like a bird's.
Whatever he was dreaming, it must have been intense, because he held on to me as tightly as if it were a matter of life and death that we remain connected. I stayed there as long as I could. It made me feel a little stronger, a little more confident, to provide even such a small measure of comfort. I thought that was what I was doing, at the time.
When I tried to pull away, his hand clenched over mine so tightly his ragged nails bit into my wrist. Well, the beds were on wheels. I tugged them a little closer together and counted Tran's respirations, then checked her pulses and pain reflexes with one hand. The old man refused to relinquish either my hand or his holy medal. The wrinkles of his forehead and between his eyes deepened, as if he was concentrating.
As I knuckled Tran, I thought I felt her stir slightly.
I was reaching for the blood-pressure cuff when the other patients started up again.
"Troi oi! Trol oi! Trol oi!" (Omigod, omigod, omigod!) The old lady from bed fourteen padded toward the desk, holding her head. "Beaucoup dau," she complained to George, who headed her off halfway down the aisle.
"Mamasan, you just have numbah one pill. No more now."
"Beaucoup dau," she insisted, showing her betel-blackened teeth. She was not used to taking no for an answer. The interpreter said she was the scourge of the marketplace in downtown Da Nang. She'd been clobbered with a rifle by an ARVN guard who wanted some trinket from her shop. She was lucky he'd hit her in the head, where she was well armored by a thick skull. If he'd hit her in the abdomen, he might have killed her.
Leaving George to handle her, I pulled away from the old man to take Tran's blood pressure. When I pried my hand loose, old Xe's hand, as if worn out from the exertion of holding on to mine, flopped between the rails and brushed my back.
I dreaded starting the neuro checks again, and my hands fumbled as I lifted Tran's lids to check her unseeing pupils. If she died, nothing would ever be all right for me again. I wished I could trade places with her. My own skin crawled when I pinched hers, my own lids twitched when I lifted hers, and I felt a knot in my chest when I knuckled her.
I apparently felt more than she did. "For Christ's sakes, Tran, that must hurt like hell. Snap out of it. Come on, kiddo, wake up." The breath eked out from between her lips with little sighs. I wanted to smack her awake, anything, just so she'd move. That would be compassionate and helpful, now, wouldn't it, nurse? Shit. I just wasn't cut out for this. I was okay with the gallbladders, cancer cases, and geriatric patients I'd cared for while I trained in Kansas City, but we just hadn't had a lot of skull fractures, traumatic amputations, or people with parts of them shot and melted away. I could take each case individually, but the collective weight was driving me down until I was simply too tired and depressed to try anymore. I was merely going through the motions, reacting automatically, leaving myself and my patients wide open to something like this.
The old man's hand brushed my hip and I swiveled around and looked at him suspiciously. He seemed the same as before, one hand still clutched at his sternum, the other now curled against my waist. Another mortar crumped and the bedlam in the ward broke loose again.
"Dau quadi!"
"Beaucoup dau, co!"
"Troi oi! Troi oi! Troi oi!"
I tucked the old fellow's hand against his side and stroked Tran's arm as if she needed soothing, not I. Through one of the three windows set high in the curve of the corrugated wall of the Quonset hut ward the sky was streaked with lemon, turquoise, and deep purple. Dawn was dawning and everybody on the ward seemed to have something loud to say about it.
"Jesus Christ, George," I said, stilling Xe's questing hand by holding it again, "can't you at least get them to do it in harmony?"
George grunted and rolled his eyes above his 4rchic comic.
Maybe the noise wasn't really loud enough to wake the dead, but then again, perhaps all that restless energy was contagious. Because this time, when I knuckled Tran, her mouth twisted and from it came a thin cry, like the kind that comes from a baby doll when you squeeze it.
I mention that incident for several reasons. I guess the first is to get it out of the way and tell it myself before anyone else does. There are those who may use that particular medication error to hint that I was an unstable nurse, which, of course, I was, and that my judgment was faulty, which it also was. However, I think it's important to note that my initial assessment of how the situation should be handled was rejected, which was also the case later, with Dang Thi That. That's what made me realize how powerless I was to do what I knew was right, and what made me take Ahn's case into my own hands. Maybe in a war situation there's no way to avoid tragedy, but I was trying, at least, to do what I thought was right. But most important of all, Tran's case was the first unknowing link between Xe, the amulet, and me, and what led to my transfer. And that, of course, led to everything else.
Tran's vital signs had stabilized by the time the day shift came on, and she was reacting to painful stimuli again. She was rescheduled for surgery that afternoon. I was scheduled for a meeting with Lieutenant Colonel Ixtitia Blaylock, the Chief Nurse of the hospital, that same morning.
I wasn't afraid of Lieutenant Colonel Blaylock by that time. As long as Tran didn't die from my carelessness, there wasn't really very much the Army could do to me that would be as hard to take. And after twenty-four hours of bedside-hovering, I was too drained to take much of anything except sleep seriously, least of all the good colonel.
A couple of weeks after Lieutenant Colonel Blaylock arrived at the 83rd there'd been a mass casualty situation-one of the biggies with chopper after chopper of mutilated people, both Vietnamese and Americans. One corpsman covered all but the most hard-pressed wards while every other available person spent the night in the E.R., cutting bloody clothing off patients, applying pressure bandages, starting I.V.s, giving meds, and going over surgical checklists. By the time I finally returned to neuro, it was almost time for the day shift to come on and I was drinking coffee, catching my breath, and waiting. The new patients were all taken care of, all I.V.s, catheters, and chest tubes were patent, and I felt we'd all done a good night's work. Lieutenant Colonel Blaylock arrived early for an inspection of the ward, her carefully smoothed, former-model-perfect features contracted in the barest hint of a frown; I was sure I couldn't be the cause, as hard as I'd been working that night. She toured the ward slowly and stopped several times to look at patients. In the middle of the ward she lifted her arm to summon me to the bedside of an elderly rice farmer who had been hit in the head by a bomb fragment.
"Lieutenant McCulley, I would like to know why this man's toenails are so filthy," she said sternly.
"Because he's worked in the rice paddies all his life, I guess, " I said. "He's been bathed, like everyone else."
ma am, "That is not enough," she said, her voice soaring above my fifteen new I.V.s. "I want these Vietnamese patients properly cleaned.
It is our original mission to take care of these unfortunate war casualties, as you no doubt know, since you have been in country longer than I."
What do you say to a colonel who insists on a damn-fool thing like that when you come to the end of an awful night? "Yes, ma'am," I said, but neither I, nor other personnel to whom she had amply demonstrated her deficient grasp of priorities, had much respect for her.
Nevertheless, she was the Chief Nurse. And this time she had something legitimate to yell at me about.
Yelling, however, was too coarse for the colonel. Instead, when she had released me from my stance at attention and bade me be seated in the metal folding chair allotted visitors to her office, she smiled a smile of sweet patient understanding. That made me far more nervous than if she'd yelled. I had learned to beware of smiling colonels at Fitzsimons, where I inadvertently got caught in a political battle between two of them.
I sat. The metal folding chairs used throughout the hospital compound in deference to our unit's "semimobile" status always reminded me of funeral parlors. When I was little, every time you went to an ice cream social at church or a school assembly, the folding chairs brought in to seat the multitudes were stamped with the name of the Peaceful Passages Funeral Parlor, from which they had been borrowed. They seemed an amenity particularly suited to Nam, where Uncle Sam and Uncle Ho were running such an enormous wholesale client-procurement racket for the funeral business. Although, in country, disposal of the dead was not expedited by agencies like Peaceful Passages with hushed tones speaking of loved ones. Here the departed were shoved into body bags, if there was enough left to bother with.
I suppose sleeplessness and release from tension caused me to drift into such thoughts instead of the trouble at hand. Because when I had composed myself, I saw that the colonel's smile was wearing pretty thin.
She blinked, the dried glue of one of her false eyelashes giving way and detaching itself a teensy bit at the edge. The colonel had been a runway mannequin in New York before going into nursing, as she was fond of saying at parties, little realizing she gave us much fodder for cruel puns back in the barracks. Her modeling experience had to have been fifteen or twenty years ago, though, sometime before her makeup had petrified into varnish. Still, her years of charm school had imbued her with a poise that wasn't even challenged by dealing with delinquent second lieutenants.
I would have found a firing squad led by General Patton infinitely more reassuring than that Vogueish smile.
"You do realize, do you not, lieutenant, that you are a dangerous nurse?"
"Well, yes, ma'am, but I did ask for a written order-" I began.
"The doctor gave you an order, Lieutenant McCulley. You were supposed to follow it. Instead, you administered ten times the prescribed medication. Didn't they teach you dosages and solutions in nursing school?"
"Yes, ma'am, but-" But that had nothing to do with it. I was not told to figure the proper dosage from the child's weight. I had been given a specific order that was incorrectly transmitted or received, I still wasn't entirely sure which. Had it been written, there would have been no question, and no error. But I was not going to get a chance to make even that meager point.
The colonel overrode my objections. She knew what was needed to mend the situation. Busy work. "Apparently you need a refresher course. You will report to my office during your lunch period until I am satisfied that you know how to properly compute them."
"Yes, ma'am," I said.
"Meanwhile, I'm afraid I must agree with Dr. Chalmers that despite your training in advanced medical-surgical nursing, we can't continue to risk entrusting you with such seriously ill patients."
"Yes, ma'am." Well, of course that was right. I was definitely feeling too shaky to work on the neuro ward anymore, particularly with Chalmers and Cindy Lou. But it was stupid of Blaylock to ignore Chalmers's share of the responsibility for bullying me out of verifying his order. If he could do it to me, he could do it to others, with results just as disastrous. I was not the only insecure, half-baked nurse who would ever work at the 83rd.
On the other hand, she wasn't in charge of him, she was in charge of me.
And he was the doctor. Anything I said would only make it look as if I was being defensive, not taking criticism cheerfully, as they say on evaluation forms. I had only to look at Lieutenant Colonel Blaylock's face and listen to her voice to know that the arguments clenched behind my teeth would be construed as sniveling and caviling.
Why was it that when I was called on the carpet I felt as if John Wayne and every grain of sand on 1wo jima would descend upon my head if I tried to explain myself? When I tried the colonel's roughshod tactics on some of my alleged subordinates, like the guys in the lab, they told me to stick it in my ear, it didn't mean nothin', and they weren't even going to listen to no butter-bars lieutenant. Maybe I ought to take lessons from them instead of the colonel, I thought. I was no good at totalitarianism. My voice betrayed my age and inexperience. In my taped messages to my folks, my lisp made me sound like a third grader.
Obviously, I wasn't the kind of officer men or anybody else followed to hell and back. If Blaylock had been chewing out John Wayne or Jimmy Stewart, they'd not only convince her to exonerate them and court-martial Chalmers, but would come up with some new strategy that would win the war. Those kinds of guys never have to question how much of the blame is theirs. They're never wrong.
But right then it was rapidly dawning on me that I was wrong about rnpre than Tran's Phenergan dosage.
Why, oh why, had I ever gone into nursing and joined the Army?
When I was a kid, I'd dreamed of being either a world-famous mystery novelist or a Hollywood costume designer. I wrote stories and doodled elongated models in glamorous getups during idle time in school. But what I wanted to be when I grew up was eclipsed by wondering if I'd get the chance.
Almost every week we'd have civil defense drills at school. The fire bell would ring and our teachers would herd us into the corridors, assumed to be the safest during bombings, or direct us to huddle under our desks. We listened to the mock alerts on the radio and memorized the conelrad call letters. At home, my mom and dad wondered if the cellar, which made a good tornado shelter, would also be effective against atomic bombs. On TV, Russia threatened us, then we threatened Russia, Khrushchey pounded his shoe on the table, and nobody seemed to be able to get along. War with the Reds was inevitable. I'd be walking home from school, enjoying brilliant autumn leaves or a fresh snow, and all of a sudden hear a thunderous explosion that rattled nearby windows.
I'd check the sky, see the telltale jet stream, and relax.
just a jet breaking the sound barrier again. But I was afraid that one day I'd hear a sound like that and there'd be no more leaves, no more houses, no more cellar, no more school, no more Mom and Dad, and no more me or anything else. No matter what paltry precautions the adults tried to take, from what we kids had seen of the films of Hiroshima and read about the new, improved destruction perfected by atomic tests, nothing was going to do any good. If they dropped the Big One, the only thing to do was bend down, put your head between your knees, and kiss your ass good-bye.
Later, I read On the Beach and began thinking about what I would do if I wasn't vaporized. I'd have to be useful, that was for sure.
Know how to do something the other survivors couldn't get along without.
If I was designing costumes or writing stories, I'd be one more mouth to feed. But if I went into nursing, like my mother, and knew how to take care of people, I'd be valuable.
Vietnam had been a pimple of conflict when I entered training, but by the time I was a senior, it was obviously another of those undeclared wars like Korea. The military actively recruited student nurses. I was short on money to finish my senior year, and tired of being broke. I was restless, too, and wanted out of Kansas City. I didn't approve of war, God no. But Vietnam seemed to be a comparatively piddly conventional war with men and guns and tanks and stuff, like most of World War II, instead of nuclear warheads. I was so grateful that the world was restraining itself that I felt a rush of patriotism unmatched since the last time I'd watched the old movie about George M. Cohan.
Surely, if I joined up and took care of casualties, I wouldn't be helping the war, I'd be repairing the damage as it occurred and doing my bit to keep the war contained until we could win it, without recourse to monster bombs. I never thought I'd actually end up in Vietnam. I'd have to volunteer for that, I was told. But on my first assignment, I ran afoul of one of those colonels I mentioned before, and discovered that I had been volunteered whether I liked it or not.
My mom had a fit, but after six months at Fitzsimons taking care of casualties and hearing my patients' war stories, I was curious to find out what really was going on in Vietnam. And it wasn't as if I'd actually be risking my life, really, not the way the men were. Female nurses were stationed only in the more secured areas, well protected by several thousand of our finest fighting men. I'd be able to test my ability under emergency conditions, be in the thick of things.
My skill had gotten tested, okay, and I'd flunked. Instead of getting sharper, I seemed to be losing what efficiency I'd had when I graduated second in my nursing school class. I had not, even at first, conned myself into thinking I was going to be another Nightingale, but neither had I anticipated becoming the Beetle Bailey of the Army Nurse Corps.
Apparently the distress from that notion showed in my face sufficiently to satisfy Blaylock, for she was now ready to deliver her coup de grace.
"After giving it some thought," she said, "I've decided to transfer you to another ward." She said "transfer," but her face said "banish."
"Major Canon needs help on ward four. You'll start tomorrow, on days."
Ward four? Glory hallelujah, I must have overprayed. God not only helped Tran but delivered me from from mine enemies as well. I felt like falling to my knees and begging Blaylock to please, please, Brer Colonel, please don't throw me in that brier-patch, just so she would be sure not to change her mind and spare me. Ward four was orthopedics.
All the patients there were conscious. You could actually talk to them.
You could actually watch some of them get better. You didn't run the risk of nearly killing them every time you gave them a cotton-pickin'
pill.
"Yes, ma'am," I said, trying to hide my smile and refrain from clicking my heels together until I was safely away from her office.
"Dismissed," she said.
I felt so giddy with relief that I was ashamed of myself, so I chastised myself by sneaking back onto neuro for another look at Tran. Chalmers and Cindy Lou were at the far end of the ward.
Tran was making up for her lack of activity for the preceding twenty-four hours. She'd wriggled halfway to the foot of the bed, her feet pushing the sheet overboard to drag the floor. I slid my arms under her hot little back and boosted her up again. She was so light she felt hollow. She let out an irritating but relatively healthy wall.
I smoothed her covers and wiped the sweat from her knotted forehead.
"Give me hell, sweetie, but thanks for not croaking," I whispered to her.
In the next bed, old Xe lay quietly with his hands over his chest. The deep frown lines I had noticed earlier were smooth now, his wrinkles gentle as the furrows made by wind through a wheat field. The dreams that had disturbed him earlier seemed to have quieted, and his sleep was peaceful.
Chalmers and Cindy Lou trotted up the ward with bundles of charts tucked officiously under their arms, the two of them looking for all the world like Dr. Dan and Nancy Nurse. They exchanged a look that pointedly did not acknowledge my unclean presence.
tramped up the wooden stairs of the barracks and down the landing to my own hooch too tired to spare a glance for Monkey Mountain or the South China Sea, and unsure whether I wanted to continue to beat my breast, lick my wounds, or gloat. What I really wanted to do was sleep, but as soon as I opened the door to my hooch I knew that was going to present a problem.
The sun glinted blindingly off the tin roof of the building, giving my room the climate of a kiln. I had nailed a Vietnamese bedspread, an institution-green brocade of a phoenix, over my window in an attempt TO
PROVIDE myself with shade and privacy. Otherwise the hooch's decor was a scant improvement on the miners' shacks outlaws use for hideouts in old Western movies.
I flopped down on my cot and groaned for a while. The cot was covered with another Vietnamese spread, which was, like everything else at the 83rd, habitually sandy. I had no sooner lain down than I knew I was going to have to sit up again and pry off my boots. My socks were wringing wet, my feet swollen and sore. I twisted on the bed and opened my door and dumped the sand from the boots. Mine were standard issue leather because I have big wide feet and the quartermaster couldn't find the lighter, canvas-and-steel-reinforced jungle boots in my size. The plywood floor of the room did not cool my burning soles, so I lay back down on the bed and let the room spin around for a while.
The whole hooch was about the size of my clothes closet at home in Kansas City, and it didn't have a closet. It did have, courtesy of my mother's care packages, contact-paper flowers stuck around on the bare plywood walls and a mobile of paper cats, a pop bottle with Mexican crepe-paper flowers stuck in it, also gifts from home. My hot plate, assorted food, a midget refrigerator, and a reel-to-reel tape deck, along with my folded clothing, even my underwear, freshly rice-starched and ironed by my hooch maid, were arranged on a wonderful wall of shelves constructed by the orthopedic surgeon I would soon be working with. Joe Giangelo, a doctor who had somehow managed to escape ascending to deity when he gained his M.D., was better known as Geppetto by the nurses, because of the kindness with which he deployed his carpentry skills. With Geppetto for our local architect and interior designer, the hooches of several of the nurses were pretty plush by Vietnam standards.
Correction. This whole assignment was very plush by Vietnam standards.
So what the hell was wrong with me? I wasn't being asked to build the Bridge on the River Kwai, just to do my job, for very good pay, under much better circumstances than most of the people in Vietnam. I wasn't in any foxholes, or in danger of being shot at, and even the concertina wire and sandbag bunkers were more for joshing the folks at home than taken seriously, at least by me. Of course, the work hours here were a little longer, the heat and bugs were atrocious, and I was unable to get enough sleep because of all of the above, but compared to what the average grunt went through I was living in fat city. So why was I screwing up so badly I almost killed people?
Well, actually, I wasn't almost killing just anybody, but specifically a little Vietnamese girl with a head inJury. There was a double dehumanizing factor there. She wasn't one of "us," of course. Didn't speak English. Was automatically suspect of being a grenade-tossing junior terrorist just because she had the gall to be Vietnamese in Vietnam.
And the head injury made it worse, because even though I knew theoretically that some of the neuro patients would get well, I could remember only a handful of encounters with patients alert enough to display whole personalities. I really wanted to blame someone else so that I didn't have to admit that I had gotten not only careless but callous.
Looking closely at why I was so mad at the doctor and the head nurse and the others who were justifiably alarmed over what had happened with Tran, I think I took the whole thing personally because I felt they didn't really care about her as much as I did. They were just tsk-tsking me to get me. Because only a couple of months earlier, it had been standard operating procedure to give the Vietnamese patients lifethreateningly dangerous care on a routine basis, when we transfused them with 0-positive blood.
Before I came to Nam I had only read about transfusion reactions in textbooks, because a routine laboratory procedure, typing and crossmatching a patient to ensure compatibility with the donated blood, eliminated most of the danger.
I began to realize the difference between wartime and peacetime nursing the night one of my Vietnamese patients went into a transfusion reaction and nobody but me was even upset about it.
The patient was a middle-aged woman who had been too near when a bomb went off, drilling a hole in her skull as well as peppering her body with frag wounds, from which she lost a lot of blood. The first unit of blood had been hung as I came on duty. My assignment was to monitor the patient for a transfusion reaction. Although transfusion reactions are rare in the States, it's routine to keep track of the patient's vital signs and general well-being for the first hour or so, just to make sure everything is okay. Only this time everything wasn't okay. The woman spiked a temp even higher than the one she was already running from dehydration, and began chilling at the same time. It's eerie seeing goose bumps rise on somebody when their fever is 104-105 and the room temperature is the same or higher. It happened so fast that she was starting to convulse before I quite realized what was happening. As soon as I did, I yanked the unit of blood, tubing and all, and replaced it with a bottle of Ringer's lactate. I put in a call for the doctor, who was, I think, in downtown Da Nang that night (though that was supposed to be off limits), and called the lab to ask them to repeat the cross match.
"Why?" asked the stoned young thing on the other end.
"Because the unit you brought me was wrong-it almost killed my patient."
"Then so would anything else I bring you. 0 poz is all we got for gooks, lady."
"What do you mean by that remark, soldier?" I asked in my best John Wayne growl. "The woman almost bled to death already. We surely aren't going to bring her in and just finish her off with bad blood."
I meant to be sarcastic, but the fellow was full of herbally induced patience.
"It ain't bad blood, Lieutenant. It's good ol' American universaldonor blood. The gooks are lucky to get it. American donors donate for
'Mericans, get it? There'd be hell to pay if they knew their blood was going to keep some gook alive. But bein' the Good Samarit-the kindhearted suckers we are-we let 'em have a little of the cheap-and-easy brew."
"If 0 positive is the universal donor, why is she reacting to it?"
"Oh, it ain't all that universal. Lots of AB types don't handle it real well, and uh-AB is a lot more common among the gooks than it is with us.
oops, gotta date with a hot centrifuge. Have a nice night, Lieutenant."
The doctor was even more offhand than the lab tech, who was indeed repeating hospital policy. Nobody said in so many words that they didn't care if the Vietnamese patients lived or died. But the lifers, the career Army sergeants and senior officers, were fond of reminding us new recruits that anyone who had served in the Pacific in WW II or Korea could tell you gooks didn't value human life the way Americans and Europeans did.
It wasn't until the neurosurgeon left and a fill-in, a doctor who had been serving in the field, was reassigned to us on temporary duty that something was done about the problem. Dr. Riley was a very logical man. He decided that if gooks bled, gooks could give blood. He grabbed a handful of tourniquets, needles, and syringes and he and Major Crawley, our head nurse at the time, raided the visitors' tent and availed themselves of its walking Vietnamese blood bank. Most of the visitors didn't mind donating. Nobody had ever thought to ask them before.
I had thought myself above the kind of bigotry that had willfully overlooked what was so obvious to Dr. Riley; the human body works pretty much the same no matter what kind of upholstery you put on it.
Now I had to seriously question whether I hadn't at least inwardly begun to buy into all of that "anti-gook" stuff. Had I harmed Tran because I secretly didn't give as much of a damn about her as I did about my
"professional image"?
Was I really more concerned with stupid appearances than I was with hurting somebody who was so totally helpless and dependent on me?
Oh well, so I'd screwed up. Nobody had been making it exactly easy for me. Let them transfer me to an easier assignment. What did I care?
Except-except that I still hated like hell that I had failed, that I hadn't measured up. Because I wanted to do more, not less. I really wanted to be in a field hospital, as a surgical nurse, doing the rough stuff. But of course, after my screwing up like this, there was no chance of that. So I'd have to accept what they told me and watch myself and make sure that it never, ever . . .
I wanted to cry, but I couldn't. I was furious with myself now, not just with everybody else, and it was a cold kind of furious that made the center of my chest ache as if I had pleurisy. My throat was as gritty and parched as the beach. I trolled with my fingers until I found the refrigerator door, and popped it open long enough to extract the dregs of a flat Coke. I popped two Benadryls and chased them with the Coke.
It tasted metallic, and there were little solid pieces at the bottom, like worms. Probably from having been shipped and stored so long. But there were all those stories floating around about the Vietcong taking the tops off pop bottles and putting ground glass in the Coke, then recapping and resealing it. I couldn't help wondering if their evil little minds hadn't dreamed up a similar way of getting into cans. I generally tried to drink 7-Up or Shasta, but with the PX, you took what you could get.
Despite the Benadryl, I couldn't get comfortable. My elbows and knees were in the wrong places, and vast patches of my skin stuck to the cot.
Someone climbed the steps to the upper porch and walked toward my room, the footfalls sending tiny vibrations across the floor aild up the cot legs. A face and a pair of hands squashed against my screen door.
,, Kitty? You there?"
I grunted, and Carole Swenson opened the door and plopped herself on the edge of my cot. Her ditty bag and another of the Vietnamese bedspreads slid to the floor beside her boot. "Hi. How was your night?" she asked as if it wasn't already all over the compound how my night had been.
"Oh, you know. Long," I said.
Carole was maybe my best friend at the hospital, but I couldn't talk to her about this. She waited a moment for me to continue, then started pawing through her ditty bag, the little olive-drab cloth sack we all used as a purse. Triumphantly she extracted a stack of three-by-five cards. "I had a brainstorm. Lookit here."
"What are those for?" I asked.
"My schedule. I got tired of reciting it to guys who keep forgetting it and call me up while I'm on duty, so I decided to start copying it out on three-by-five cards. It'll save time."
"Uh huh," I said, mild amusement lapping at the edges of my bone-tiredness. Carole did tend to carry her talent for organization a little far sometimes. But that talent was part of what made her such a good nurse. She handled the ICU, which was a nightmare, as if it were routine ward work, and conducted eincrgency triage situations as coolly as if she were planning seating arrangements at a party. Her I.V.s always seemed to hit the veins on the first punch, she always found the bleeder, she always managed to hold someone where it didn't hurt, and she seemed to know before the patients did what would make them more comfortable, feel a little better. She was the kind of nurse who would be there with a glass of water half a second before a patient realized he was thirsty.
"If you have your schedule, you could do the same thing she suggested, which was supposed to give me an opening to tell her about my transfer.
The hospital compound was a small place. Rumors had probably spread far and wide about how I had nearly killed Tran and what Blaylock had done about it. Carole, who would never have made the same kind of an error, nevertheless had probably already put herself mentally in my place and was trying to help.
I grunted noncommittally, because I still didn't want to talk but I didn't want her to go away mad either. I needed all the friends I could get.
,,Be that way," she said, and tucked her cards back inside the bag, and abruptly changed the subject. "Judy's ward master is going to the PX
and said he'd drop us at the beach on the way. Wanna come?"
She'd done it again. Suddenly I knew that I needed to get off the compound and away from the hospital more than anything. I nodded, plucked my beach bag from the corner, and followed her out the door.
Carole, Judy Heifetz, and I crowded into the jeep driven by Sergeant Slattery, the ward master on Judy's ward. Getting a ride all the way to the beach was a rare treat. Usually we had to walk to the gate and hitch ' with a passing deuce-and-a-half or whatever other vehicle was willing to pick us up. Women weren't allowed to drive vehicles off post. Too dangerous.
The Jeep bumped its way through the gate and down the dirt road through Dogpatch, the Vietnamese village that separated the southern 'de of the compound from Amer'can-bu'it Highway I. The highway si I I ran down the coast of Vietnam, and led past Tien Sha, the naval base north of us, past Freedom Hill and the China Beach R&R Center, to the south.
Somewhere along the way was a turnoff for the bridge across the river to Da Nang and another road that led to Marble Mountain Air Force Base.
Vietnamese children stopped and watched our Jeep sputter past. A little boy, who was probably eight but looked five, ran toward us. "Hey, GI, you want buy boom-boom?"
"Get lost," Slattery yelled.
"Hey, man, numbah one boom-boom, no shit." The child continued with the hard sell. After all, family pride was no doubt involved, since he was probably pimping for his mother or sisters.
We laughed, and Judy leaned out and waved him away. "Hey, man," she said. "We mamasans. No need boom-boom."
The kid, undaunted, trotted along beside our dust cloud, calling, "Hey, mamasans, you want numbah one job?"
Later, out on the highway, Slattery had to stop the jeep for an overturned Honda while the three occupants reloaded two baskets of chickens, their laundry, two water jugs, and a pig onto the little vehicle. While stopped, we all assumed the sort of hunchbacked position required to cover your watch with your right hand while keeping your elbows tight over your pockets and, in our cases, our ditty bags tucked firmly into our armpits. Vietnamese street kids watched for just such incidents to dart out and strip the valuables off the passengers of stopped vehicles before the suckers knew what happened. It occurred to me more than once that it was a damned good thing jeeps didn't have hubcaps.
Carole and Judy had worn bathing suits under their fatigues, but I had to stop at the ladies' room of the officers' club to change. My mom had picked my suit, a gold velour modified bikini, out of the Sears catalog.
Needless to say, it was not particularly revealing, but it wouldn't have made any difference if it had been cut like a pair of long Johns.
Stepping from the ladies' locker room onto the glaringly sunlit beach, surrounded by a couple three hundred males, I squinted down the long stretch of beach between me and the blankets Carole and Judy had stretched by the edge of the water. I felt I was running the gauntlet, like the guy in that old movie Flight of the Arrow, although the scenario was more like Annette Funicello in Beach Blanket Bingo. Or maybe it was Sally Field in Gidget Goes to War.
Heat pulsed from the sand, and I smelled the rubber of my flipflop soles, hot as a teenager's tires. I was glad I had my new tortoiseshell-rimmed aviator-style dark glasses to hide my eyes as the usual chorus of wolf whistles and catcalls followed me down the beach.
"Hey-hey, Joe?" someone on the enlisted side of the beach called.
"Yeah?"
"Get a load of that funny-shaped guy in the two-piece suit."
I turned around and saw two tanned-to-the-waist, white-legged specimens of American manhood staring after me with a cross between bewilderment and awe. One of them looked mildly mortified that I was staring back.
The other one gave me a cocky grin. I waved hello and kept walking. A month ago I would probably have struck up an acquaintance, gone swimming with them, or played beach ball for a little while. But during the last month, our fellow officers had decided that female nurses were not safe consorting with all those horny enlisted men, most of them marines on in-country R&R from combat duty. Our fellow officers thought we were much safer consorting exclusively with horny officers. Carole, Judy, and I, as well as a lot of the other girls, were pissed off about it.
The guys on the enlisted side of the beach were the ones who were taking all the risks. They were the ones who needed the morale maintenance that officers on the make were so quick to remind us round-eyes women was part of our patriotic duty. Probably some of those guys were dangerous-I mean, they were supposed to be dangerous to the Vietcong and the NVA, weren't they? But the treatment I'd received from them hadn't frightened me. Though there'd been some tentative passes, so respectfully tendered as to almost be comical, most of the guys had just seemed happy to be reminded that there were other kinds of people around besides Vietnamese and men.
Carole was busily filling out her three-by-five cards when I arrived, while Judy tried to get to sleep. I waded into the sea. It was warm as urine and about as refreshing, but I wet myself down anyway, then waded back out again to lie face down to bake on my blanket.
I dug little holes in the sand with my toes and tried to snuggle the sand into conformation with my body. The skin of my back twitched when I lay still, my muscles relaxing only slowly as they grew accustomed to the warmth of the sun.
An aircraft carrier rode the waves on the horizon, a guardian beast for the beach. I felt, as much as heard, the distant rumble of artillery, the sand vibrating beneath my breasts and stomach.
The tepid gray-green sea lapped the beach, its rhythm soothing. I lay still until the droplets of water evaporated from my hide and were replaced by droplets of sweat. Then, feeling like a dolphin needing to keep her skin wet at all times, I waded back into the sea.
Before I could settle back down on my blanket, a shadow interposed itself between the sun and my body.
"Hi there, young lady. You look like you could use a drink. What'll it be?"
I peered up at this aspiring cocktail waiter. He had thinning grayish hair, an eager expression, and a white band around his left ring finger where his tan stopped.
"Nothing, thanks," I said. "I'm trying to get some sleep right now.
I'll get something to drink later."
He plopped down beside me. "Don't be crazy, hon. You'll get all dried out in this sun. Hey, you're starting to blister already. Better let me rub some suntan lotion on you."
"It'll just wash off again," I said, but he was already squeezing my lotion onto his big pink ringless hands. I thought about making a lunge for it and asking Carole or Judy to do the honors instead, but they had found new friends and wandered off down the beach.
"My name's Mitch," the man said as he smeared goo onto my back. "What's yours?"
"Kitty," I said. I didn't care how good it felt. Name, rank, and serial number were all he was entitled to.
He chuckled as if he'd already made a dirty joke out of my name. I glared at him and he put a lid on it. I was surprised. It was the single indication he had given of sensitivity. Or perhaps he just felt vulnerable in swimming trunks.
"What do you do, Kitty?"
"I'm a nurse. I just got off a twenty-four-hour shift and I'm trying to get some sleep, " I repeated. A little reinforcement is never amiss when dealing with slow learners.
"A nurse? Army?" he asked, and I nodded into the blanket. "Say, we sure do appreciate you girls. Me, I'm over at I Corps HQ."
I grunted. If good ol' Mitch was from I Corps headquarters and had time to hang out at the officers' beach, he had to be some kind of brass, which accounted for the amount of it in his approach. He took my grunt for an invitation instead of what it was: the most eloquent un'cat'on I felt I could spare, and that only because I was comm I I brought up to be polite. I was so tired I would have gone to sleep with him there if I'd dared.
He lay down on my blanket beside me and got even chummier. "Yeah, we supply this whole area, you know. Do you like those fancy dishes in the Pacex catalog? We got a whole load of those the other day by mistake.
I'll bet I could get you some really cheap."
"uM, " I mumbled.
"What?" he asked, a little starch creeping into his voice when I did not instantly offer him my undying gratitude. You usually got that sort of unrealistic expectation only from lieutenant colonels and above.
"I said to let me know, after Mrs. Mitch makes her choice of pattern, and I'll talk to my fianed and see what he thinks."
He sat back up and dusted sand onto my freshly oiled back. "Well, sure am getting thirsty, Kitty. Sure you won't take me up on that drink?
Nope? Nice talking to you."
Judy had returned to'her blanket, alone, this time, and had been eavesdropping. "Hey, Kitty, what pattern is Colonel Martin going to get for you just out of the goodness of his little old heart?"
"He asked you too?"
"He's asked every nurse in Da Nang, I think. Somebody ought to let the poor schmuck know he's real confused about our particular mi I 'I'tary occupational speciality, and even if we were what he seems to think we are, who ever heard of a hooker who does it for china?"
"Hanoi Hannah might-do it for China, I mean, get it?"
"You are on the very seriously ill list, McCulley, and that's a fact.
Get some sleep, woman."
I slept, and in my sleep kept doing vital signs and neuro checks, vital signs and neuro checks. Tran's eyes stared up at me, just the whites, and I knew I was going to fall asleep on duty and she'd die because I wasn't awake. . . . I jerked myself awake and saw the sand and smelled the oil. My back felt slightly tight, a little too hot.
I wet down again and tried to bake the other side, but even through my sunglasses, the light pried my lids open. I now felt the 'llery rumble
'n my spine. Oddly enough, it drowned out other, less arti predictable noises and lulled me back to sleep. I don't remember dreaming that time.
It must have been at least two hours later that Carole shook me. "We have to get back now and shower for work. Coming?"
"I think I'll stay here and have something to eat. I'm not all that anxious to get back."
Carole gave me a stern look of the "once you fall off a pony, pardner, you just have to climb back on" variety, but I had better things to feel guilty about than staying at the beach all day.
The China Beach Officers' Club was a rambling French coloTnial building on a hill above the beach. It commanded a splendid view of the South China Sea and the adjacent mountains and jungle. It was a romantic-looking place if you overlooked the concertina wire and sandbags and disregarded the attire of the clientele. With its lazily rotating ceiling fans, latticework of white painted wood, wide veranda, and potted palms, the place always made me feel as if I should be wearing a white linen safari suit and a pith helmet and walk in on the arm of jungle Jim. I kept expecting somebody to come riding up on an elephant and call me "memsahib."
Right then, however, the Gunga Din illusions of the place were of less allure than its distance from the hospital.
I usually dressed up to go to the club and went in a group, or with an escort. This time I just pulled on my rumpled fatigues over my swimsuit, which was by then bone-dry, tried to brush the sand off, and stuck my hair up under my baseball cap. I looked like a grunt, which was fine with me. I didn't feel very glamorous..
The club was half-empty at five, which was a little early for dinner. I really wanted to be alone to mope, but that was a sure way to attract even more attention than usual. I looked around for someone I knew.
Just anybody harmless and familiar.
Even as messy as I looked then, I no sooner stepped inside than the clatter of stainless and restaurant pottery died to an occasional clink and the muted conversations stopped altogether. I felt like the Fastest Gun in the West entering a saloon just before High Noon, but I pretended not to notice. Since coming to Nam, I had gotten used to stopping traffic. Literally. I had always considered myself attractive in a sort of wholesome, moon-faced way. I had nice hazel eyes and brown hair carefully kept reddish, and a figure that ten pounds less made "stacked"
and ten pounds more made "fat." But none of it mattered, because the attention was nothing personal. It was not my sheer breathtaking gorgeousness or incredible charisma that was causing apnea among the male diners. The standard female reproductory equipment and round eyes were all that was required to be the Liz Taylor of China Beach.
I just stood there kind of dazed from the sun and sleepy and tried to decide what to do. The very idea of all those men just made me tired right now.
One reason I hadn't minded coming to Nam so much at first was that I had already talked to a lot of bewildered boys my age who didn't want to go but saw no other choice. It seemed unfair that they had to serve, just because they were men of the right age. Like discrimination. I thought, if this war was for the benefit of the U.S., why were men the only ones who had to go? The North Vietnamese, or at least the VC, had women troops, and so did the Israelis. Of course, two days after I was in country it was pretty clear that no American, male or female, should have had to be there. If I had to enlist again, nothing short of the invasion of Kansas City would have gotten me into uniform. Furthermore, I knew that many of the men who had been gung ho before they got to Nam agreed with me. Even the South Vietnamese stayed out of the military if they could, and it was their damned war.
Nevertheless, there I was, and my idealistic notions of brotherand-sisterhood failed to prevent me from being an exotic novelty item in the war zone, no matter how much I wanted, or was able, to contribute. Most of the guys most of the time were okay, even downright gallant. But there were those like Mitch who decided that we nurses were just working twelve-hour shifts, continually suffering from Iick of sleep and incipient heatstroke, as a sort of hobby. What we were really in Nam for, of course, was to get laid. By them.
Nurses, Red Cross workers, entertainers-we were all nymphos if not actually whores, according to the predominant mode of wistful thinking.
Even fairly nice men swore to us nurses that all doughnut dollies were making big money as prostitutes, and apparently the same men told the same story about us when they were talking to the Red Cross workers. I remember having a conversation with one of the Red Cross girls at Marble Mountain. "Funny, you don't seem as-ah-you know she said at one point, when we had been talking about what we were doing in Nam. "I know," I said. "You don't look like a hooker to me either."
Thewhole thing made me want to smack somebody, but unfortunately, most of the people I could smack here would outrank me.
But basically, as long as the guys kept their cruder notions to themselves, I could handle it, and even enjoy the attention. What really got to me was the ones who made Mitch look like Mr. Suave. On Carole's birthday, one of her boyfriends had brought four of us girls to the club to celebrate. Drunken marine officers had converged upon us to woo us with obscenities and innuendos delivered with typical Corps couth, which vies with that of convicted multiple rapist-murderers for gentility. "No, thank you,"
"I'm not interested...... Please go away or I'll tell my boyfriend, King Kong...... I'm engaged," and "I'm married" did not deter them.
Neither, at first, did "Get your goddamn hands off me," and "Fuck off and die," until voiced with sufficient volume to attract the interest of other officers, who wandered over to reinforce Carole's boyfriend. Our rescuers then stayed around for drinks and any possible demonstrations of eternal gratitude. Most of them were somewhat better behaved than the marines. One of them suggested that we had had no call to get so mad, since if we didn't want marines lusting after us, we wouldn't be there.
That was so unfair. I for one had been expecting a different Marine Corps altogether-the one with the lofty Latin motto, the one my dad had Joined in WW II. He had had such a good time with those other marines, and often told long, funny stories about the adventures of his group of lads on Ishi Shima. They never, in Dad's stories, killed anybody, they just camped out in the rain a lot and scrounged and gave candy to children and nylons to women and converted POWs through sheer kindness and wrote home to Mother. And they certainly didn't say "fuck" every other word. Of course, by now I did. Dad would be very shocked at all of us, I supposed.
Maybe from this you can gather that our lives were a bit on the schizophrenic side. While we were on duty, we were responsible for the lives and deaths of our patients, for calming their fears and administering treatments that could cure or kill them. Off duty, we were treated as a sort of cross between a high-ranking general who deserved to be scrounged for, taken around, and generally given special treatment, and a whore. It was a little like that old saying of water, water, everywhere, and not a drop to drink. All those men and you could still be so lonely.
On a date, after you talked about where you were both from, your escort would brag about his aircraft or his unit or, God forbid, his body count. If he was feeling disgruntled, you were supposed to keep up his morale. But you were expected to do the same attentive little cupcake act the football players had expected in high school. Nobody wanted to hear about your day at work. Some of the girls dated doctors, who at least had some idea of what the rest of their life was like. I was awfully glad I didn't. All I'd have needed just then was to have to spend my offduty time, too, explaining what I'd done to Tran. Dating doctors, to me, was a good way to screw up both your social life and your work life. Besides, doctors were married.
A nurse captain I'd met at Fitzsimons who had been to Nam twice and Okinawa once told me her prescription for handling one's love life on overseas duty.
"Keep it light, honey. Keep it light. What happens is you have these real killer romances and then the love of your life leaves country, promising to write, and all that shit, then he goes back to his everlovin' wife or his real girlfriend, and forgets all about you. It's just not real, see, whatever it feels like. The partying is great, but you can't take it seriously. What you do is you find a nice guy who has about three months left in country, just long enough to have a little fun. You don't tend to get so involved when you know how soon the end is coming. You date him and meet his friends, and when he goes, you take up with the nicest of the friends who have only about three months left in country, and so on. It's the only way to keep from being burned."
I agreed and tried to maintain a properly cynical attitude, but naturally, I hoped she was wrong in my case, and that I would find true and requited love just for being so goddamn noble. Oh well, at least I was drawing combat pay.
A rugged-looking fellow sporting a blond crew cut and a lightweight flight suit marched up to me and smiled, showing enough teeth to look friendly and not enough to look as if he were about to bite. "Excuse me, ma'am, but if you're not with anyone, my buddies and I would appreciate it if you'd be our dinner guest."
"Well, I was sort of . . ." I glanced around the room again, but it was full of strangers. "Okay."
"I'm Jake."
"I'm Kitty. Where you from, Jake?" I asked, the usual opening conversational gambit in Nam. Everybody wanted to talk about where they were from. Damn few wanted to talk about where they were at.
"Florida originally, but my family lives in Tennessee now. Where you from?"
"Kansas City," I replied and decided as he led me to his table that he was probably okay. Mentioning his family in the first sentence and not hiding his wedding ring were good signs. Whatever else he was, he was not that bane of the single military nurse, the geographical bachelor.
The table was on the veranda, and at it were two more men in flight suits, one sitting and one standing, his feet spread as if he were about to straddle his chair, his hands on the back of it, his face shrouded in mirrored aviator glasses. Those lenses hide a lot, but I felt them locked on me as surely as if they were the sights of a sniperscope. He wore his hair longer than the other two and it was dark, with a rather rakish forelock brushing the tops of the glasses. He was tanned and rangy and his grin was lopsided and only slightly tobacco-stained.
"Pay no attention to this fellow, ma'am," jake said. "He's just one of your run-of-the-mill dust-off pilots. We let him eat with us, hoppin'
he might learn how to conduct himself in proper company. Tony, you don't propose to eat standin' up, I suppose?"
"Nah. Not that I don't appreciate educational opportunities, sir, but I ate already, as I would have explained if you hadn't gone trotting off after the prettiest girl in the room like a-well, anyhow, I got to get back to Red Beach. I'm on alert. But I wouldn't pass up an introduction."
"I didn't think you would, somehow," jake snorted. "Kitty, this is Warrant Officer Antonio Gutierrez Devlin."
Warrant Officer Devlin gave me the full impact of that slightly snaggle-toothed grin and swept my paw to his lips. "Very pleased to meet you. What was the name? Kitty what?"
"McCulley," I said.
"From over at Single Parent?"
"What?"
"Single Parent, the 83rd. You're Army, aren't you? Your code name over there is Single Parent."
"No shit?"
"I kid you not. Also referred to more casually as Unwed Mother. Where do you work?"
"Uh-ward four, ortho, as of tomorrow."
" Hmm-"
"Didn't you say you were just leaving, Tony? Urgent mission?"
"Yeah, well, I'm sorry, Kitty. I have to go rescue stranded casualties, unlike these heavy-machinery haulers. Since we all work so closely together, I'm sure I'll be seeing you real soon." He tilted his sunglasses down to the tip of his nose and gave me a meaningful look out of hazel-green eyes with curly dark lashes that should have been outlawed on a man, then did a smart about-face, swiveled around again, and said to Jake, "Make sure she comes to the party, Cap'n, sir," then sauntered through the door. Have I mentioned that not all of the masculine attention we girls got was unwelcome?
I was catching my breath when jake gently lowered me into a chair and continued introductions.
"This fine gentleman here is Tommy Dean Kincaid. Say hello to the pretty lady, Tommy Dean."
"Hello, pretty lady. Ain't it awful what you meet on your way to Grandma's house in the middle of this war?"
These two were definitely going to be all right. They sounded like Bing Crosby and Bob Hope on The Road to Da Nang, with me as Dorothy Lamour.
Of course, what I was really wondering about was the Errol Flynn type who had just left, but the comic relief was comforting. I was still feeling a little too fragile to withstand the kind of internal fireworks Tony generated.
But these two good old boys really were good. Like Jake, Tommy Dean mentioned his wife within the first fifteen minutes, and asked my advice about what kind of a present to send her for her birthday. We told each other where we were from, and later jake and Tommy Dean, between mouthfuls of steak and baked potato, talked about aircraft while I ate in what I hoped passed for awestricken silence. I'm a fast eater, though, being used to institutional half-hour lunch breaks during which fifteen minutes was spent in a cafeteria line, and I finished before either of the men.
"What did Tony mean about you guys hauling heavy equipment?
You are pilots, I gather?"
"Yes, ma'am, " Tommy Dean said.
"Fixed-wing?"
"Goodness no."
"What do you fly, then? Cobras? Hueys? I rode in a Chinook when I first got here. The guys up at Phu Bai had us up for a party. Boy, are those things noisy."
"Honey, you ain't seen nothin' yet," jake said proudly.
"You seen anything flyin' around in the air looks a little like a big grasshopper?" Tommy Dean asked.
"Well . . . I can't say as-"
"You'd know if you'd seen it. It's a flying crane. Looks a little like this." He pulled a pen from one of his zippered pockets and drew a picture that did indeed appear to be the product of a marriage between a helicopter and a grasshopper.
I examined the picture, wondering if this might be another one of those strange in-country jokes to impress newcomers and girls. Finally I handed it back and asked, "Why in the world would anybody build a chopper that looks like that?"
"It's a flying crane, Kitty," Jake said, and then, of course, I understood. I had been associating the word "crane" with the bird, or with the long, spindly legs of the Disney version of the Ichabod Crane who saw the headless horseman in Sleepy Hollow. Jake eagerly pointed out the features of his aircraft to me. "This space under here is for a cable to haul cargo. Watch the air sometime. You may see one carrying a tank or another chopper." His face lapsed into an expression of almost paternal fondness as he spoke.
"Aw, seein' it from the ground is nothin' compared to watchin' something swinging from its belly."
"I can imagine," I said honestly, because I was by now as intrigued as it is possible for me to be by a piece of machinery.
"If you'll come over for that party Tony was talking about, maybe we can take you for a ride," jake said.
"I'm changing wards right now," I told them and found my voice was a little unsteady at the reminder. "I don't know my schedule."
"That's okay, honey," jake said, patting my hand. He obviously mistook the hint of distress in my tone for disappointment that I wouldn't be able to make an immediate date to acquaint myself with the ungainly object that was the current love of his life. "The cranes will be there when you can make it over. And there'll be other parties. Don't worry.
The talk turned to their families again, then, abruptly, Tommy Dean ducked out to see if the sergeant they'd ridden over with was done with his carousing at the NCO club. "Is he okay?" I asked.
"Oh sure, honey. just a little homesick. You know, I don't think you realize how much it means to him-to both of us-to have you come over and talk to us for a while." He stopped looking at me for the first time that evening and studied his fingernails, and the ceiling fan, and took great interest in the comings and goings of the waitresses. "Now, I'm not sayin'we wouldn't either one of us take somethin' if we could get it, if you know what I mean, but mostly we are happily married men. I miss my wife like hell. It feels so good to be able to talk to a woman without, you know, havin' to use sign language all of the goddamn time."
It was my turn to study my fingernails. I couldn't find the right expression to let him know how good it was to talk to men who didn't treat me like a servant (the doctors), a police woman (most of the enlisted men), or a piece of ass.
"If you guys have a jeep, would you mind dropping me off at the PX gate so I can hitch back to the hospital?" I asked.
They insisted on taking me all the way back to the 83rd, of course, and kept me laughing all the way. I was hoping one or the other of them would mention something else about Tony, but they didn't, though Jake reminded me of the party.
I felt pretty good until the jeep drove out of sight and I turned to walk past the sign that said "Welcome to Hell's Half Acre."
Beyond the gate, floodlights from the guard towers illuminated the compound, sandbags, concertina wire, plywood barracks, and administrative shacks. The hospital's white humps shone from within, the three long windows at the top of each ward glowing faintly with the light over the nurses' station. The hospital building was actually two sets of Quonset huts connected by a long, enclosed corridor. It resembled eight enormous oil drums that someone had split open and spread apart so that half of each drum lay directly across from the other. Each entire oil drum was a whole ward, with space enough for maybe another Quonset hut on each side of the ones already in place. You could almost see the cloud of pot smoke swirling above the visitors'
tent, defining the atmosphere between wards five and six.
Smelling it, I forgot about Tony and jake and Tommy Dean and could sec the inside of ward six again as clearly as if I'd never left Tran's bedside. Shame and grief not only for the harm I might have caused Tran but for the nurse I was not and was never going to be welled up in me again, returning in a massive sodden lump. The closer I got to the hospital, the bigger the lump swelled, until it filled my chest and throat and brought the taste of sirloin and stomach acid to my tongue. I should stop and check on Tran, just so everyone would know that I really did give a damn about her. But what if something had gone wrong? I took a shortcut through the hospital, my boots loud on the concrete hallway. No one else was out there, just the mingled smells of antiseptic, pot, and Nam, and the collective sound of deep breathing, restless sleep, shifting feet, and the occasional clank of metal trays or bedpans. The light glowed softly over the desk on ward six. Ginger was pouring meds. George was behind his comic. Tran's bed was still occupied. I crept just a little closer, not wanting to greet anyone.
The body in the bed was Tran's, and she was breathing.
I passed through the hospital, out onto the boardwalk, and up the stairs to my quarters, gratefully closing the door behind me. My side of the building had been out of the sun for several hours, so the temperature in the tiny room was more or less bearable. I turned on the fan and let it blow through my hair, evaporate the last moisture from my skin as I pulled off my fatigues.
My laundry was lying freshly pressed on my shelves-well, most of it was my laundry. Looked as if mamasan had left me somebody else's rice-starched and ironed lace panties.
I grabbed a clean set of underwear, slipped on a shift, and headed for the shower. It was cold, as always, but washed off the sand and the stink. No one seemed to be home in the barracks that night, but the light at the 83rd officers' club across the road still twinkled and
"Proud Mary" warred with the sounds of Aretha Franklin coming from the barracks in back of ours.
Returning to my cot, I slouched back against the wall with my stationery box on my knees and tried to write a long, philosophical letter to Duncan. Duncan was-well, it's hard to explain about Duncan now. He was-is-a former professor of mine, a great storyteller, and in my own heart then my own true love. Only he didn't seem to know it, or value it, and tended to treat me like a kid brother. Of all the men I could have had, he was the one I wanted, though I wasn't damn fool enough not to have my spirits lifted by the proximity of men like Tony Devlin.
Still, it was always to Duncan, rather than my mother, that I wrote the letters that really explained, more or less, how I felt about Nam. I'd been composing in my head, in my sleep, in between snatches of conversation, what I would tell him about the situation with Tran, but halfway through I tore it up. If he found out what a fuck-up I was, he'd never love me. Instead, I wrote a short, funny letter about the beach and meeting Tommy Dean and jake. I'd save writing about Tony for when and if there was something to write about that would make Duncan realize what an incredibly desirable woman I was.
I stuck the letter in an envelope, and took two more Benadryl. I thought I might finally be able to sleep.
Phody shuddered in horror when I reported for duty on orthoA pedics.
Nobody said, "Oh no, not her." Nobody gave me knowing glances that said,
"Lieutenant Colonel Blaylock told us about your kind." Major Marge Canon looked up from counting narcotics only long enough to give me a quick, slightly distracted smile. Sarah Marcus, who occupied the hooch next door to mine, wiped the sweaty hair off her forchead with her arm, pouched out her bottom lip to blow upward to cool her face, and looked straight through me in a spacey way not unusual for night nurses just coming off a twelve-hour shift. Then her eyes focused, and she sighed and nodded her head in my direction before resuming the count.
Sarah's morning report was rushed and perfunctory. "All five of the casualties from yesterday are going out today. I haven't had time to get their tags done yet. I was supervisor last night and there was a push of Vietnamese from some village that got shelled. I think we may get two or three of them. Joe was triage officer last night and didn't get scrubbed for our first case till about five-thirty, so you probably have an hour or two before recovery room calls. Right now you've got three I.V.s on the GI side, one on the Vietnamese. I'll do those tags now."
"Don't worry about it, Sarah," Major Canon told her. "We're finally getting some extra help around here. Blaylock sent us Kitty instead of making us wait around for joanie's replacement from the States, so there's no need for you to stick around."
"Yeah, well, g'night," Sarah said. "I have to go give supervisor's report to the colonel. By the way, Kitty," she added casually,
"everybody on your old ward had a pretty good night."
"Thanks, Sarah. Slecp well."
She waved good-bye, tucked the supervisor's clipboard under her arm, and disappeared down the hall.
Before the day crew disbanded from report, Marge made introductions.
"Troops, this is Lieutenant McCulley. She's been transferred to us to replace Lieutenant Mitchell. Kitty, this is our ward master, Sergeant Baker, our interpreter and nursing assistant, Miss Mal, and Specialists Voorhees and Meyers."
I nodded and said "Pleased to meet you" all around. Sergeant Baker was a broad black NCO with a habitual expression of longsuffering tolerance.
Miss Mal looked like an oriental elf who'd been out in the rain too long. All the time I was there, it was Mai's unvarving custom either to come to work early to wash her hair or to wash it during her break, so maybe she was more of a water sprite than an elf. Voorhees was a compactly built, sandy-haired corpsman of about nineteen. Meyers, the other corpsman, was a tall, chubby-checked black guy who looked as if he belonged in high school.
"Come on, Kitty, we'll try to give you a little orientation before it gets busy," Marge said. First she showed me how to fill out medevac tags for the wounded GIs, all of whom were bound for Japan for further care, and then to the States. So few of my seriously injured GIs on neuro had lived long enough to stabilize sufficiently for medevac that I didn't have much practice in filling out the forms.
I was so glad nobody seemed to be mad at me about my screwup on neuro that I wanted to prove myself, show the major how gung ho I could be. As we started rounds, I saw that one of the patients wore a badly saturated dressing over what was left of his right leg, so I pointed it out to Marge. According to the nursing care plan on the guy's chart, he had been backed into by a tank driven by a friend who had taken too much herbal remedy for the Vietnam blahs.
"Yeah, that needs reinforcing okay. Let's wrap it with another couple layers of gauze. We're just going to reinforce most of the dressings on these guys. We don't usually change them when they come straight from the field and are medevaced the next day. Too much danger of infection.
Open up a wound here and it sucks germs out of the air. Pseudomonas, staph, you name it, Vietnam's got it."
"I didn't see much of that on neuro, but then, a lot of times we didn't get open wounds," I told her. "And I suppose the Vietnamese have a certain tolerance built up."
"Probably, or anyway those that don't are dead before they get here. But we get a lot of infection on the Vietnamese side of the ward, '%u'll see that later."
too.
Another soldier, this one with frag wounds of his upper torso and compound fractures of the right clavicle and humerus, couldn't wait for us to reach him. He had been using his good arm to scratch frantically at his cast and dressings. "Ma'am, ma'am, you can change my dressings, can't you? I mean, since I'm asking. You've just got to. They itch like hell."
Marge said something soothing and regretful and examined his bandages, then pointed to a fly that had lighted on the dirty part of the dressing. "Probably maggots."
The soldier, who looked about fourteen, turned a green only a shade or two lighter than my fatigues. "Yuck. Get them the fuck off me," he said, trying harder than ever to scratch.
Marge gently restrained his left hand. "Leave them alone, soldier.
They're saving you from gangrene. Maggots only ea-maggots clean up dead tissue, sort of nature's way of debriding wounds. They won't hurt you.
They just itch a little. They keep wounds like yours from putrefying."
The boy, red-faced and almost in tears, lay back with a whimper. Not knowing what else to do, I handed him an emesis basin. He appeared neither convinced by the major's explanation nor willing to revise his no doubt long-standing prejudice against maggots. He was in for a long trip to Japan. I could only hope he'd get accustomed to the idea of bodily dinner guests.
There was also a marine with a self-inflicted gunshot wound to his right foot, and two other patients with less serious multiple frag wounds, overflows from the general surgery ward.
Voorhees and Meyers were already at work with razors and basins of water. Sergeant Baker brought the dressing cart, and Marge and I put fresh layers of bandage around the filthy, seeping dressings. It felt like sweeping dirt under the rug The boy with the maggots groaned when we raised him to reinforce his dressings and cursed us as we manhandled him, but when we were done, lay back and said, "Thank you, ma'am," as sweetly as if he were talking to his Sunday school teacher.
We were headed for the Vietnamese side when recovery room called to tell us that the first of our new admissions was being transferred to us.
After that, three more arrived in fairly rapid succession. The corpsmen were still busy escorting the GIs to the helicopter, so Marge, Mai, and I did routine vitals. I wondered where the charts were, but every time I asked about pain or nausea medication or whether to touch a bandage, Marge referred me to a little recipe box containing standing orders.
These orders authorized nursing staff to administer medication for pain, nausea, or fever, to reinforce dressings, and to perform other routine care without doctors' orders written specifically for each patient. I was finishing the vital signs on the second patient when the third was wheeled onto the ward.
Joe Giangelo, red-eyed and barely able to lift the soles of his paper scrub shoes, pushed the last gurney in front of him and stopped at the desk to hand the major a stack of charts.
His scrub suit was dotted with a fine spray of red droplcts up one side, blood that had soaked through his scrub gown while he worked. His hair was matted from being tucked under a scrub cap all night. He opened the refrigerator door and gulped down a canned Coke as if he'd been dying of thirst. He looked a lot different from the twinkly-eyed benefactor who whistled while he built cabinet shelves. I thought he was about to drop. But when I reached for some of the charts, he said, "Why don't you grab a clipboard instead, Kitty, and make rounds with me. I'll tell you what I know about some of these folks and what we're going to try to do with them."
The Vietnamese side of the ward was more vigorously noisy than neuro had been. A bedlam of trol ois, dau quadis, and less articulate moans and whimpers greeted us, along with a cheerful wave from the end of the ward from a girl who squealed, "Bac si Joe! Bac si Joe!"
Bac si Joe drew himself up to his full five feet four inches and summoned Voorhees, who was counting vitals on one of the new patients.
"Specialist Voorhees."
"Sir?" Voorhees asked, his head snapping up as if he expected to be called to attention.
"What's the matter with you, Voorhees? Why haven't you informed these patients that they, as Orientals, are stoic and inscrutable?
LDok at them! Listen to them! Scrutable as hell!"
Voorhees gave him a "Give me a break" sigh and started counting the pulse again.
Joe's face turned serious as he bent over the middle-aged woman in the first bed,,however. She was curled on her side, biting her knuckIt's, her face and pillow wet with tears, and she cried a little harder for a moment when he stooped down to say something soothing to her. Her patient gown was rucked up over a saturated pressure dressing covering her from waist to knee.
"This is one of our new admissions from last night, Kitty, Dang Thi That. Mrs. Dang's husband was murdered in the assault that brought us most of these people. He was the village chief. After they killed her husband, the VC shot her too."
"At least they didn't kill her," I said.
"No, but this way she makes a good example to anybody who wants to cooperate with us. And it will take time and money to take care of her.
You'll see what I mean when we get to another patient, a couple of beds down. Now then, Mrs. Dang, let me show the nurse where you're hurt.
That's right." Dang Thi That gasped a little as he pulled the dressing off her wound and showed me a smallish entry hole. She cried out once as he gently turned her to show the gaping crater of medicated bloody gauze where her left hip had been. "You see here the tumbling effect of the bullet. Little hole here"-he pointed to the front-"totally blasts away or pulverizes the entire structure back here. We did a preliminary debridement in O.R. to clean out the worst of the necrosed tissue and dirt and tie off the bleeders, but of course we'll have to delay closure until infection is no longer a problem, and we can maybe get some skin to graft onto the area. It's going to be a long haul for her, but there's nothing else to do except maybe sew a volleyball in there."
"Dau quadi, co," the woman said and stretched her tear-slicked hand toward me, then dropped it again, as if the effort of holding it up was too much for her.
"She's been medicated within the hour," Joe said. "I don't think we could give her much else right now." He adjusted the flow of one of her two I.V.s and moved to the next bed, where an ARVN soldier with bilateral below-the-knee amputations lay.
The man ignored Joe's greeting and held out his hand for a cigarette.
Joe shrugged. "No can do. They're in my other pants. You bic? Other pants?" The man just looked disgusted and turned away, ignoring us while Joe told me about his unsuccessful attempts to save at least one of the legs. "He's been here about three weeks. You know how to do the figure-eight wrap to mold a stump for prosthesis?" I said I did.
I had to say it loudly because about half the noise on the ward was coming from the next bed, a small boy with a big mouth.
The stump of one of his legs was tightly bandaged, but draining. His right arm was in a plastic splint.
"This little devil is Nguyen Tran Ahn, a ten-year-old orphan, parents killed by the VC before this last raid. He keeps saying he wants to go home, but nobody's claimed him. He was apparently up in a tree when a shell took his right leg. He fractured his right radius and ulna when he fell out of the tree. I-Jesus-" He looked down into the screwed-up little face, which reminded me of a monkey face carved out of a coconut, only smoother, of course.
The volume of the kid's howling and sobbing increased as Joe started to unwrap his stump dressing. I tried to shush him, but that made him howl even more loudly. joc cut his examination short and sprinted two beds down. "I would have debrided him this morning, but the little devil got ahold of a candy bar somewhere and I couldn't operate."
Sergeant Baker, a towel draped over one shoulder, paused to catch what the doctor was saying. "Yeah, well, bac si, you can do somethin' for me when you take him in to surgery. Sew his mouth shut, will you?
Whoo, that child sure can holler." He tugged his ear, shook his head, and ambled toward the back door.
The next patient sat stone-still in bed, disregarding the slings around her shoulders and arms, staring at the far side of the ward.
"What's the matter with her?" I asked, dropping my voice.
"Bilateral fractured clavicles and shock. Remember what I told you about the VC?"
I nodded.
The question was rhetorical. He used the pause to swallow. He'd been doing a fairly good job of putting on the jolly Joe Giangelo Show for my benefit and that of the patients, but the jolliness vanished suddenly and it was easy to see that the man had been working all night.
"They, uh-the VC-shot-she was walking down the street, see, coming back from taking dinner to her husband, who's one of the CIDG civilian guards. She had her one-and-a-half-year-old on one hip and her three-month-old on the other. The sniper shot both babies out of her arms. They were small. The impact fractured her clavicles." He continued talking in a flat, chart-dictating voice about what he was going to do for her. He had two daughters, a toddler and an infant, back home.
The next two beds were empty, but in the last a pretty young Vietnamese girl ostentatiously pouted until we turned toward her, then bounced up and down like a puppy while she waited for us to reach her bedside.
Bouncing up and down when your leg is in traction is not all that easy to do, so we hurried, while she beckoned urgently with her hand and called, "Bac si Joe, Bac si Joe, I no see you long time.
"This is Tran Thi Xinh," Joe told me. "Xinh, this is-"
"This your girlfrien', huh?" she asked.
"Nah. You know you're my best girl. This is Kitty. Lieutenant McCulley. She's going to be working with us now, so I want to show her your leg, okay?"
"Okay, Joe. Kitty, how old you? You marry? Have children?"
We straightened the sheets under her while she pulled herself up in bed with the help of the metal trapeze suspended from her overhead bed frame. I told her I was twenty-one, not married, no children, and she said, "Ah, same-same me," though she looked no more than seventeen.
Xinh here is going to put me in the textbooks, Kitty. She has an unusual spiral fracture of the distal femur. We don't really have the equipment here to work with. I'd send her back to the States except that her family doesn't want her to go. So I ordered the equipment through channels. Needless to say, Xinh is going to be one of our longterm patients."
Xinh flashed a cover-girl smile, followed by a torrent of Vietnamese.
Mai, also speaking rapidly in Vietnamese, rushed over, half hugging Xinh every time she winced as Joe examined her. The two of them were almost as noisy as the little boy, Ahn, who was still alternately caterwauling and whining.
Both were drowned out by the sudden boom of Sergeant Baker's bass voice.
"Wait just a goddamn minute, soldier. What you think you're doin'?"
"Bringin' you a new patient, Sarge. Ain't that nice of me?" The response was from an equally forceful voice with a thick overlay of Southern drawl-which didn't necessarily mean the guy came from the South, not in Vietnam. For some reason, even guys from Boston started talking like Georgia crackers by the time they'd been in country a week.
,, Not without no authorization you ain't," Baker replied, pulling his towel off his shoulder as if he would flip the tall redhead with it if he made a false move.
Joe flipped the sheet back over Xinh and headed toward the two men fighting over the gurney.
"Hi, Joe. You want to tell the sergeant here that you authorized this transfer?" the redhead said. His uniform was funny-looking: a regular camouflage shirt mixed with green tiger-stripe trousers, his only insignia a Woody Woodpecker pin he'd probably picked up at the PX. From his manner, I thought he might be one of the doctors in from the boonies. They all spurned Army dress codes.
Joe temporized, "Now, Doc, I didn't . . ."
Marge popped her head through the door. "Something the matter, Sergeant Baker?" she asked cheerfully.
"This man bringin' us this patient got no authorization, ma'am. Unless, that is, Captain Giangelo, you authorize it, sir?"
"If Chalmers is all finished with his head, I-"
"Nothing wrong with his head," the redhead said.
"There was a depressed skull fracture," Joe said, not arguing, 'Just informing.
"That was a mistake, Captain. If you X-ray him now you'll see there's nothing wrong with his head. He needs to get somethin' done about replacin' his legs so he can go back to the villages, though. They need him out there."
"Wait a minute, wait just a minute here," Baker said. "You a doctor?
You don't look like no doctor."
"Yeah? Say the same thing to me when you've got your ass shot off or are burnin' up with fever and I'm the only dude in sight with a firstaid kitand some kind of training."
"I'm real impressed. Been a field medic myself in two wars. That don't mean I haul patients around makin' unauthorized transfers or sassin' the real doctors. What's your name and your outfit, soldier?"
"Spec-6 Charles W. Heron, Special Forces medical supervisor assigned to C-I operations detachment attached from B-53 Special Missions Advisory Force."
"Uh huh," Baker said. "And who might this man be? Your C.O.?"
"Sergeant Baker, Specialist-uh-" Major Canon said. "Whoever this patient is, don't you think we'd better make up our minds where he's going and get him back to bed?"
"I'm tellin' you, Joe, there's no head in'llry," the redhead said.
"I'll have to clear that with Major Chalmers, Doc."
"Chalmers! That asshole has his head so far up his-"
The man seemed to be a good judge of character anyway.
I remembered belatedly to try to reassure the patient, the object of all of the argument. It took me a moment to recognize old Xe. His color was much improved, his head unbandaged, and his face less sunken. His eyes were open and alert, seemingly staring at the ceiling, though as I watched I saw that he shifted them from the redhead to Joe to Baker like someone watching a three-way Ping-Pong match. I probably wouldn't have recognized him at all in a couple of days-legless, bald elderly Vietnamese men weren't uncommon at the 83rd. But his hands were crossed at his chest, over the medal, in the gesture I remembered well from the night before last.
"Way to go, papasan," I said, patting his shoulder. "You sure healed in a hurry."
"You should watch how you touch him," Heron told me. "It's disrespectful to touch a holy man casually."
"You're the one who's disrespectful-" Baker began, but Heron wasn't paying any attention. The old man was speaking to him in a soft, hoarse voice.
When Heron looked back up, his face wore an odd expression, as if he was trying to assess me, and at the same time resented me.
Marge, who had been on the phone, reappeared. "Neuro got swamped last night with ICU overflow, apparently. When I told Captain Simpson that we had one of her patients over here, she spoke to Major Chalmers. He said he didn't know why we didn't take the old man in the first place, and if you need help with the mild concussion the admitting physician misdiagnosed as a depressed skull fracture, Chalmers will be happy to consult with you, Joe."
Mai helped Heron put Xe to bed. I transcribed the orders, trying to hurry so I could talk to Heron before he left. It occurred to me that he was the mystery man who had called in the air evac on old Xe's behalf. But when I looked up from my chart, the old man was sleeping fitfully in the bed between the woman who had lost her children and the whiny little boy. I thought it might have been the light, but he looked sicker and wearier than he had a few moments before.
Joe Glangelo, when he returned to the ward, evidently agreed with me, because he ordered a new antibiotic, an extra I.V., and two units of blood for the old guy and scheduled him for surgery as soon as he was judged strong enough to withstand anesthesia.
We were moderately busy those first few days I worked ortho. One morning the husband of the woman with the fractured clavicles simply appeared and packed her off. Marge called Joe, and Joe, with help from Mal, tried to talk the man out of it, but the husband just gave a tight bow and a tight thanks. Mal said the woman would feel better with her own people and would want to be present at the funeral of her children.
Personally, I thought the woman looked as if she would die of grief very soon and the man looked as if he blamed us for the tragedy and himself for ever becoming involved with "our" side. Which irritated me. "Our"
side was supposed to be the side of most of the South Vietnamese, wasn't it? We were helping them, not the other way around. And he wouldn't even let us try to repair some of the damage.
Nor was he the only one who didn't want our help. The day was scheduled for surgery, the O.R. tech wheeled him away and then, a short time later, came back scratching his head, wondering if we'd seen the boy.
Voorhees and Sergeant Baker divided up the hospital and started searching, but a few minutes later a sergeant I vaguely recognized carried a wailing Ahn back onto the ward. "I understand this might belong to you ladies," the sergeant said. I showed him where to deposit the bor while Marge tried to call Joe in O.R.
I took Ahn's vital signs, thinking Joe would want to know, but I couldn't hear much. The kid shrank from my hands and bellowed at me, all the time watching me with a mixture of fear and loathing. I couldn't understand it. I hadn't done anything to him.
The ARVN in the next bed blew a smoke ring and smirked at us as we passed.
The sergeant said, "Say, you're the lady we brought home from the club."
I rounded the nurses' desk and he poured himself a cup of coffee and leaned over the chart rack.
Marge looked up and said, "The O.R. supervisor says Ahn will have to be rescheduled. When they couldn't find him, they gave the room to Dr.
Stein for a gut wound. Some vertebral damage, so Joe's scrubbed in with him. He said he's glad we found the little darling, though. Guess we can call for a tray."
The sergeant, who looked vaguely like an Irish prizefighter, was giving Marge an appreciative once-over. "This major looks like a nice lady to me, Lieutenant. Have you asked her yet about the weekend?"
"Not yet-"
"What about the weekend?" Marge asked.
"Well, ma'am, we're having a sort of a special do over there, and my executive officer has asked me to extend an invitation to you for Saturday night but was hoping we could have the loan of this young lady over at the company so's she could do a little flight training in a crane-kind of a goodwill mission. He's already checked about the guest room with the commanding officer. It's our anniversary weekend. Hell, we even got a Filipino band."
"What time's the party?" Marge asked.
"We'll send birds to pick the ladies up at 1900 hours. Skip evening mess and we'll barbecue you some numbah one steaks."
"You want to go, lieutenant?" she asked me.
"Sure," I said. "I just thought, since I hadn't been here very long, I might not be up for a weekend yet-"
"Shoot, girl, you make it sound like you just got in country. I hadn't planned on getting you, so I didn't count on you for the weekend. Go ahead and have it off, but if we have a big push the minute you get back we'll know who to blame."
Things were definitely looking up. Nobody looked over my shoulder or breathed down my neck and somehow I managed very well without the supervision. Even the noontime sessions with Blaylock weren't all that painful, though she looked mildly insulted when I did know the answers to the math questions she drilled me on. Voorhees just happened to mistakenly order an extra lunch tray every day I missed my turn at the mess hall.
Friday evening during my shift, Tommy Dean came to the ward and spent the last hour drinking coffee while I finished report. I collected my swim tote, into which I'd packed a couple of dresses and 'letr'es,
'nclud'ng the Shalimar perfume I got for under ten dollars at tol the PX. The chopper was waiting for us on pad by the back doors of the emergency room. The dust flew higher than our heads as we ducked under the thundering blades. Tommy Dean flew in the copilot position and I took the backseat, accepting earphones from the crew chief with mimed thanks.
The routine was familiar to me. Some outfit or the other was always inviting a group of nurses to their party and sending a chopper as cab service. Most of the time the chopper came because someone owed someone else a favor. Scrounging and barter were as big a part of the economic system for the military in Nam as the black market was for the Vietnamese. So I knew how to put on my earphones and listen through the bone-shaking throb of the chopper and the crackle of static to the wisecracks and CB-type lingo exchanged on the radio. The crew chief was often also the crew, especially on the smaller birds, and he was the one who took care of anything that happened in the back end of the chopper, manned the door gun, and sometimes took care of patients in medevac situations.
I've never been afraid of heights and I enjoyed looking out at the ground as we flew past China Beach and over Highway I to several miles of cleared ground devoted to hangars, barracks, other ugly buildings, barbed wire, sandbags, and row after row after row of every imaginable kind of helicopter.
I didn't really know what to expect of that weekend. At Fitzsimons, I had gotten into deep trouble with an unreasonable colonel for having a man in my apartment after midnight. We weren't doing anything, but my roommate, a professional virgin who was irked to come home and find Willie there, and the colonel refused to believe me. I was called a slut in front of several other senior officers, and the colonel promised me she would personally drum me out of the corps if I ever again disgraced the sacred name of the Army nurses with such depraved behavior. Shortly after that, I got orders for Nam. I hoped her spies were watching, writing back, "Oh sure, she says she's just going to learn about flying cranes, making 'friends' with the men, while staying chastely in the guest quarters." I'll admit it seemed a little unlikely, but that's exactly what happened. Well, mostly, anyway.
Friday night, after jake had met us and escorted me to my room so I could change into a dress for the sake of troop-and my-morale, we barbecued steaks on a quadrangle the men had constructed. The C.O.
liked funky country and western songs, such as "Cigareetes, Whusky and Wild, Wild Women," and I knew quite a few myself, so we took turns playing C-F-G on his beat-up guitar while the troops sang along with varying degrees of tunefulness and ethanol-enhanced enthusiasm. It reminded me of the Texas bars I had loved while I was in basic at Fort Sam, and we sang and played until 0100 hours, when jake told me I was going to have to get up early if I wanted to fly a mission in a crane.
I trundled off to the guest room singing my favorite new horrible song, a parody of the "Green Berets" song by Barry Sadler. It ended with "
'cause that is where herets belong, down in the jungle, writing songs."
I intended to send a copy of it to Duncan if I could remember all the words, and glamorize the weekend for him the way Jake and the others were glamorizing their unit for me.
The next morning Tommy Dean sat me down in the eye of the great airborne grasshopper, a glass bubble that gave me an unimpeded view of the countryside and the mission. We flew over fishnet-strung seas, lush green mountains fading to purple in the distance, golden rice paddies, and aquamarine waters. Gauzy mists puffed up beneath us, vel 'ling the valleys. It was still extraordinarily beautiful. But even from the air, the beauty was marred by the bomb craters pitting its surface, like Never-Never Land with smallpox scars. I was used to thinking of Vietnam as ugly, hot, smelly, dirty. It had never dawned on me that the Rice Bowl of the East, as they called it in social studies, would have to be lush, that a country that was once a resort area for the French would of course be lovely. What a crying shame to hold a war here.
The crane hovered over a chopper stranded on a small island. A cable was dropped, and a man below attached the great heavy hook to the stranded Huey. A short time later, the crane lifted again, bearing the swinging Huey under its belly as if the smaller aircraft were a fly intended for the larger one's dinner. There were a couple of nervous moments when they had to pause and wait for the momentum of the Huey's swing to decrease, so that it wouldn't send the crane off balance.
Watching the Huey appear at the bottom of the bubble first from one 'de, then from the other, I thought of the string-and-ring test done to si tell if a baby was going to be a boy or a girl: back and forth for a boy, round and round for a girl.
By the end of the day I had lots of pictures and an exciting adventure to write home about. My grin almost split my face when jake met me at.
the airstrip.
"God, that was great!" I told him, latching chummily onto his arm. "I think I could write a song about that myself."
He grinned like a father being told his newborn was adorable. "Well, good. Hope it put you in a partying mood. Meet you in about forty-five minutes and we'll all walk down to the club together, okay?"
I agreed happily and changed into my bright pink embroidered Mexican sundress and sandals. Then, feeling a little like a mascot, I walked down the road with thirty or forty of the men from the flying crane unit.
I sailed in between Tommy Dean and the C.O., captured a steak, and watched a thoroughly oriental woman who didn't look as if she spoke a word of English, and who wore a strapless sequined evening gown and high-heeled shoes on bare feet, belt a Patsy Cline song just like Patsy, twang, warble, and all. Then the dancing started and I, who had never been asked to dance at any Stateside party I had ever attended without a date, in high school or out, was in hog heaven. Marge was there, along with several other girls from the 83rd. I sat down to talk to her when the band took a break, but we couldn't hear ourselves for the noise.
As the band started again, someone tapped my elbow and I looked back and up to see my own fun-house reflection in Tony Devlin's mirrored sunglasses.
He turned his hand palm up, inviting me to grab it, and nodded toward the dance floor. I suppose in a movie the band would have been playing a Viennese waltz right then, but actually they were playing something more compelling: "Proud Mary." I never could sit still to that. Tony danced well, his knees, elbows, and wrists more than his feet keeping time, a style which is a boon on a small floor. He frowned slightly to himself as he swayed and bounced and snapped his fingers, like a Russian about ready to go into one of those numbers where they get down on the floor and kick. The frown was sexy. I'd seen it on hippie men friends who seemed to use it to say, "Sure I may be doing something frivolous like dancing, but I'm supporting civil rights" or saving the world from the bomb." In Tony's case it said, "You better believe I'm dancing while I've got the chance." I loved watching him dance, but I enjoyed playful stuff, too-pretending to be Mouseketeers with Tommy Dean, or line dances and circle dances with everybody. When I danced with Tony, I double-timed like an Indian ready for the warpath. Maybe that should have told me something.
But I was feeling good. New friends, a new adventure, and maybe a new romance. I lasted much longer than the girls from the 83rd, and when Marge waved good night, neither of us had stopped dancing long enough to talk much. It must have been quite a while later-I was dancing with one of the crane pilots, I don't remember who-when I noticed that Tony had slipped away from the bar, and that Tommy Dean and jake were gone, too.
I saw the top of jake's head come through the door and his finger make a circle in the air. The girl singer tapped the lead guitarist on the arm and jerked her head in jake's direction, and they cut the song a chorus short and began packing up the instruments.
He stopped and said a few words to one or two guys and the club began emptying.
He started toward me and I met him halfway. "What's up?" I asked.
"I don't think anybody else is going to be able to leave tonight. Would you mind if the girls in the band shared your room? I don't want any of the guys who've had too much to drink giving them a hard time."
"Sure," I said, bewildered. "But why?"
"There's a sniper at the gate. I got Sarge to get some cots for the entertainers, but I wanted to let you know what was going on before we set them up."
"I'll help," I said. We walked back up to the quad in a tight little group, me, jake, and the crane ockeys with the Fillpina girls from the band and the Patsy Cline-clone singer mincing behind us in their toohigh heels and too-tight outfits.
The sergeant bad a stack of cots and linens set out. I started unfolding cots and sheets. I could have let the girls do it themselves, but after working in hospitals as candy striper, student nurse, and graduate for the best part of five years, I automatically tended to make any unmade bed that crossed my path. Besides, it made me feel useful in a potentially dangerous situation over which I had no control. I was used to rockets and mortars, but a sniper? Somehow that seemed a lot more personal.
I was cussing a stubborn hinge on the last cot when Tony poked his head in the door, "Jake said to tell you relax. Looks like the girls may get to go home after all. We called in an air strike from Phu Bal."
"Oh," I said, looking at my row of neatly made up cots.
"Forget that. Come on with me. I've got something to show you. I think you're going to find this real interesting."
"Where are we going?" I asked.
"Just to the water tower. Come on. Hurry."
He practically pulled me past the quad, where a few of the crane company were entertaining the Filipinas and vice versa, through the dark part of the compound to a squatty water tower. We climbed a rickety wooden ladder and lay face down on the top of the tower. He lay beside me with one arm flung across my back. His fatigue shirt was damp with clean-smelling sweat mingled with the odor of rice starch, whiskey, and cigarette smoke. He hugged me closer so that his forearm braced us against the top of the tower. With his free arm he pointed ahead of us.
"Watch," he told me.
"Is that where the gate is?"
"Uh huh. But watch the sky."
All I could see was buildings, trees, and stars. The occasional pop of gunfire sounded like distant fireworks, an effect heightened by the red streaks of tracers streaming into the air and bursting.
"Hear that?" he asked, and pretty soon I did: a chopper, from the rhythmic beat of the blades, but a very quiet one, as if the rotor had been muffled with oil and velvet.
"Where is it?" I whispered, the excitement of the darkness, the danger, and being half-squeezed to death by Tony making it hard to keep my voice low and serious. The whole scene reminded me of when I was about eight years old and my cousins and I played combat in Army surplus helmets and belts underneath my Aunt Sadie's bridge. Except my cousins didn't smell or feel like Tony.
Tony swung his hand in an are. Following it, I saw the outline of the slim nose of the little chopper, hovering overhead like an airborne cat watching a mousehole.
"What kind is that?" I whispered.
"Cobra," Tony said, his breath tickling my ear.
Suddenly the Cobra pounced, spitting fire, covering the area in front of the gate with burst after burst. "Jesus Christ," I said, "all that for one little guy with a gun?" It seemed like using a tank for a flyswatter.
But the Filipinas were able to go home after all, which was great, since by the time we left the water tower I had other company in the guest room.
e was scheduled for surgery my first day back. The antibiotics had helped prevent the spread of infection in his stumps, but they still had to be debrided; that is, the dead tissue had to be removed so that the new could form a clean scar.
Of course, I had no idea who the old man was or how great his power had been until it was nearly gone, even though he had already shared it with me once. I'm glad I didn't know. If I had, I would have missed the point: that even a great master like Xe was only a part of the process.
I think if I had known about him I would have been quick to discount my own role in that process. That would have been a fatal mistake, in more ways than one. As it was, the mistake we all made of treating Xe like an ordinary, slightly crazy old man is only embarrassing. And though I'm sure some of his anxiety was real, I wonder now if the old man wasn't having a secret laugh at our expense.
The fracas started when Voorhees began prepping Xe for surgery. Xe had permitted Voorhees to shave and bathe him and clean his nails without a problem. Xe had never been combative before, but I'd noticed when I did his dressings his eyes were always angry and troubled. Once I caught him watching me while I did Dang Thi That's wound irrigation, and his expression was unfathomably miscrable. Mostly, though, he had been withdrawn and almost sullen. I thought perhaps he was still suffering the hostile stage of brain healing I mentioned earlier. On the other hand, it was normal enough for anyone to be angry and confused on awakening from a head injury to find his legs missing.
He sometimes spoke briefly to Mai, their exchanges no more than a few careful words, as if they were trading eggs. When he was sleeping, he mumbled and clasped his hands to his chest. When he was awake, he stared at the wall or followed us with his eyes, though if we said something to him, he looked away.
"I bet he's a VC," Meyers said once. "He looks sneaky."
"Oh no," Mai objected. "He very holy man."
"$o were those monks that barbecued theirselves, and look what they got us into," Sergeant Baker snorted.
Mai carefully refrained from looking offended, but lowered her eyes. "I hear about him from my friend," she said and turned away. I could have kicked Baker for discouraging her from saying more. According to Marge, Mai's "friends" told her a lot of things-like when there were likely to be heavy rocket attacks or when it would be unsafe to go to downtown Da Nang.
But while Voorhees didn't treat Xe with any particular reverence, he had shaved and bathed the old man with his usual stolid gentleness and patience, as if he were grooming some prize piece of livestock for a 4-H
show. The trouble began when he tried to remove the pendant the old man wore.
Xe clutched his fists to his chest and glared defiantly at Voorhees, who turned to me, looking hot and perplexed.
"I don't think he's real impressed with the surgical checklist, Lieutenant. We better get Mal to explain it to him."
I was hot and perplexed myself and sick to death of hearing little Ahn's incessant crying. "They borrowed her in ICU," I said. Lucky her. She was as frustrated with babysan's nonstop wailing as the rest of us. The kid hadn't stopped crying, or thwarting efforts to get him to surgery, since he arrived. Mai had told me that morning that some of the Vietnamese patients were threatening to smother him if he didn't shut up, so they could get some sleep.
"Well, we got to find some way to tell the old guy he can't wear jewelry to O.R.," Voorhees said. "I'm sorry, but I'm not going to fight him for it. I didn't sign up for hand-to-hand combat. Any ideas?"
I rose from charting my meds and walked to Xe's bedside. The old man's bony jaw thrust pugnaciously forward over his doubled fists and his narrow black eyes snapped from me to Voorhees and back again as if we were threatening him with torture and further dismemberment.
"God, papasan, don't look at me like that," I said, in English, of course, but hoping he'd find my tone reassuring. "I'm not going to hurt you. Nobody's going to hurt you. Not here. But you gotta give me that." I pointed to the thing he clasped to his larynx. "I keep safe for you."
He looked suspiciously at my outstretched hand. How in the hell was I going to explain to him that he couldn't wear his necklace because it would get in the anesthetist's way? For all I knew, his idea of anesthetic was biting a rock.
Fortunately, Xinh had forsaken Vietnamese TV for the live entertainment we were providing. She had too much energy not to get antsy lying in bed day after day, and now she clearly itched to get involved. Her English wasn't as good as Mai's, but she seemed to understand more than she spoke. "Xinh, you know when you go O.R.," I began in the simplified English that, mixed with a few words of Vietnamese and a few words of bastardized French, made for a sort of pidgin common language between Americans and Vietnamese.
"O.R.?"
"Surgery? Doctor fix your leg?"
"Nooo . . ."
Well, actually, she hadn't been to surgery yet. "Uh, well, anyway.
Papasan Xe go surgery. His legs numbah ten. Doctor fix. Make better."
Xinh nodded energetically, her gleaming black pigtails waggling. I thought I was getting through to her. "But before go surgery, must take off all 'ewetry." I demonstrated, removing my own rings and putting them in my pocket. But although Xinh's eyes followed everything I did, she looked puzzled. So I reached for her watch, and though she looked doubtful, she unbuckled it and handed it to me.
"Jewelry," I told her, and jingled the watch and rings together in my hand. Xinh looked scornful. She knew that. I continued. "Now then, you papasan." I pointed to her, and Xinh shook her head that no, she wasn't papasan.
"Play like. Play like you papasan."
Xinh drew in her breath and nodded. She bicced-understood"play like."
"I take your jewelry and lock it up," I said, and walked to the narcotics cabinet, looking back to see if Xinh was still watching.
Xinh's head bobbed like a buoy on a windy day.
"Then you go surgery, get legs fixed." I pantomimed Xinh's bed rolling down the hall and made vague fixing-up gestures at her knees. "Then you come back"-I continued the charades with more laborious gestures, then scuttled back to the medicine cabinet and with a flourish worthy pf a magician produced the watch again and handed it back to Xinh-"and you get your jewelry back. Bic?"
Xinh looked puzzled for a moment, then broke into another flurry of earnest nods.
"You explain to papasan for me?"
I expected maybe three or four more explanations and charades would be necessary, but Xinh drew herself up with the self-importance of a teacher's pet chosen to be hall monitor, leaned over the edge of her bed, and shouted to Xe in strident Vietnamese loud enough to be heard over Ahn's whimpering. Xe, who had steadfastly refused to watch my shenanigans but had withdrawn into staring through the corrugations of the tin wall opposite him, looked startled. He shifted onto one hip to face Xinh, then loftily turned away and said something argumentative, gesturing at me and the ward with more animation than I'd seen in him so far.
Xinh assumed the airs of both a princess and a mother as she replied, lecturing him. The old man set his jaw even more firmly and she repeated what she had said, this time in a more coaxing tone, intermittently pointing to me.
Xe watched me impassively for a while, his fingers idly stroking the thing at his neck. After a couple of minutes his jaw relaxed and he beckoned me to his bedside with a lift of his head.
This time Xinh shouted her encouragement to me, no doubt urging me not to drop the ball after she, Xinh, had gotten things rolling. I leaned over the old man and he pulled the theng from his neck and tenderly handed me the object on the end. I started to carry it to the medicine cabinet, but Xinh, like a referee calling a foul, began bouncing up and down, crying, "No, co! No, Kitty!" and indicated that I was supposed to put Xe's necklace around my own neck.
I hesitated, doubting the professionalism of wearing a patient's jewelry-particularly since it didn't look like very hygienic jewelry.
But Xe was making small nodding movements. He was urging me to wear it, not lock it up. Once I slipped it on, he seemed satisfied and with lordly dignity allowed Voorhees to finish prepping him.
I remember thinking that the necklace could have had value to no one but Xe, and even at that the value had to be purely sentimental. The pendant on the grungy theng looked as if it had been carved, or melted maybe, then molded, out of the bottom of a soda pop bottle. It was still roughly round and had a deep wave running through the middle, with something like ears on the side. It sure wasn't the Hope diamond, but then it wasn't mine to worry about either. just so the theng didn't contain living creatures. I detected nothing more noxious than the old man's sweat, so I tucked his treasure inside my fatigue shirt, the pendant lodging under the top button above my cleavage. I'd promised to guard it with my person, if not in so many words, and I would, though why anybody would want to steal such a thing I couldn't imagine. But even as Voorhees rolled Xe off to surgery, the old man cast a backward glance my way to make sure I was living up to my end of the bargain.
That incident exhausted all of the good humor I had for the day, and when I sat down to do the chart, I felt like a boiling lobster. Sweat saturated my hair and dripped into my eyes. My fatigues stuck to my back and armpits, the backs of my legs, and my crotch. My bra was soaked and clammy. I hate heat and always have. It shuts down my thinking ability by at least 75 percent. I get slow and clumsy, and my skin feels like a freshly tarred road gumming onto everything that touches it. I get faint and headachy and my temper is about as stable as nitroglycerin. I gulped two salt tablets and sat down with my head between my knees for a moment, my hands, where they pressed against my eyes, feeling sticky as those of a two-year-old who's just finished eating candy. Ahn's shril whine sawed through the heat, irritating as the buzzing of a thousand mosquitoes. Damn! And I still had to do the little bastard's dressings. I peeled myself off the chair and jerked the dressing cart away from the wall so hard it clattered. Jesus, it was so hot even my skin seemed to be sending off red light, as if it were boiling. I paused for a moment, closing my eyes just so some part of me could be cool in the shade my eyelids provided. I couldn't touch the kid feeling like this. I took three deep breaths and opened my eyes again. Well, better. My skin was only giving off a hot rosy glow now.
I wheeled the cart over. Now it looked as if the kid was glowing red-red and kind of a murky eggplant color that intensified and darkened when he glared up at me and started shrieking.
"Oh, shut up, I haven't touched you yet," I snapped. He looked right at me and howled louder.
"Qkay, kid, that's it. I've had it with you and so has everybody else.
You're not the only one around here who's been hurt, you know."
But he just kept howling. I couldn't, I simply could not, keep listening to that racket while I worked on him. I pushed him over on his side and swatted his rear. "Now, em di, dammit. We're all tired of you. Just shut up." I gave him about four swats, the pink of my hand blurring to red as it hit the red around his rear.
He didn't yell any louder. In fact, his shrieking died off to a whimper, then a snuffle, by the time I got control of myself and stopped abusing my patient. He sniffed and looked at me for the first time without the hatred and terror I was used to seeing in his face. I couldn't figure it out. I was feeling like the Marquise de Sade and the kid was definitely in the best mood he'd been in since he arrived. The light around him looked cooler somehow, too, and less murky. My own had faded to dusty pink. I laid my hand on his forehead, thinking that maybe the color had something to do with fever.
His skin was sweaty but cool, and he watched me, not fearfully, but with a funny kind of anticipation. And it came to me that he didn't know nurses weren't supposed to paddle their patients. He knew he'd been thoroughly annoying everybody, but he felt lost and abandoned. The spanking and my scolding voice, even speaking English, had made if his mother were still with hid'mn control of the world, it seem as I I I telling him what to do. I knew that as certainly as if he'd told me, though I didn't know then how I knew it. But whatever passed between us he didn't ask to understand but simply accepted with relief. His face smoothed out of its monkeylike scowl and his lids dropped like rocks as he passed into long-overdue sleep.
"ooh!" Xinh cried and shook her hand. I left the dressing cart by Ahn's bed and walked to hers. A blur of blue-green light surrounded her. I blinked hard, but the light remained.
"What's wrong, Xinh?"
She held up her hand so I could see the fingernail broken into the quick, a thin line of burgundy light pulsing from it. "Nothing. Tete dau," she said, her frown vanishing.
She took my hand in her sore one and swung it back and forth, companionably. This made me a little uncomfortable, but I knew from watching Vietnamese people that same-sex friends often held hands in public. I was grateful for the gesture, since I was still feeling a little like an ogress for spanking Ahn, despite the surprising way he had reacted. Xinh was impossible to dislike. Her emotions swept across her face like weather on a seascape, sunny one minute, stormy the next, but open and changeable. She painted her nails and tried different hairdos and watched the performers on Vietnamese TV. I was sure that if I could understand what she and Mal gossiped about, it would have been what my friends in nursing school talked about, boys, clothes, normal things that had nothing to do with the war. The only thing funny about her was that blue-green stain. I must have a bad case of heatstroke, I thought, and reclaimed my hand. "I have to get back to work, Xinh," I said.
She pulled her own hand away and started to suck on the broken 'l, then stopped with't halfway to her mouth. "Heyy! Numbah one!"
nal she said, her eyes shining. She held up her nail, perfectly intact, with about a quarter inch of unpainted growth showing above her ruined polish job. She looked at me as if I had pulled a coin from behind her ear. "How you do that?"
"Huh?" I said stupidly. Maybe Xinh wasn't feeling so good either -she was that funny color around the edges. Maybe we were both sick. I looked at both of Xinh's hands-all of the nails were intact. I shrugged. She shrugged and happily accepted the mending of her manicure as a miracle of American medicine. I felt distinctly dizzy as I started back for the nurses' station.
Mal returned to the ward, her hair newly washed, and glowing irl
'descent pink. I rubbed my eyes and looked away from her.
The lunch cart arrived, and Meyers and Voorhees started passing lunch trays. I joined them at the cart and pulled a tray out, then started giggling helplessly. Not only did a baby-pink glow wrap both corps men, but the food was also color-coded: a pale green wisp over the cottage cheese, a faint orange to the fish.
"You okay, Lieutenant?" Voorhees asked.
"Uh-yeah. But I think I'd better sit down. Everything looks funny to me." I turned back toward my chair and tripped over my own feet.
Meyers caught my arm. "Whoa there, ma'am, what you been on?"
Istared hard at the dark brown center of his face and ignored the fluff of pink tipping his modified afro. "I dunno. One of you guys put a drop of acid on my fizzle or something? You're all weird-" I started to say "colored" and was afraid Meyers would take it wrong, so instead I asked for a drink of Kool-Aid and sat down again with my head between my knees. Maybe I was having some kind of drug reaction, but I found that hard to believe. More likely it was the heat. I had fainted during my first scrub, when I stood in a closed operating theater in muggy ninety-degree heat and watched a particularly bloody mastectomy while unwiped sweat ran down my face and pooled under my surgical mask. I'd also fainted during my first O.B. case, also in the summer, when the heat made the blood smell like hot metal. But I hadn't ever seen colors like this before-a roar in my ears and a sudden blurring of vision, but never distinct shades surrounding perfectly welldefined individuals. And I'd been sick those other times. Today I didn't actually physically feel any worse than I'd felt every day since I'd been in country.
Maybe I should have my eyes checked? But that wouldn't explain why Xinh had a blue-green halo while everybody else's was pink. Did only staff get pink halos? I'd have to ask Chaplain O'Rourke about that one. Maybe there was more to that angel-of-mercy stuff than met the eye. Trying to figure it out did make me start to feel a little nauseous, so I avoided the whole issue by refusing to look at anyone and finishing my charting instead.
When the major returned from her Tuesday morning staff meeting, she pushed Xe's gurney in front of her. A rosy glow surrounded her. He looked gray around the gills.
"Joe says it will take a couple more procedures to get Xe's stumps in shape for prostheses," she said. "But he came through this like a champ. Get his vitals, will you, Kitty?"
As I bent over to listen to his blood pressure, the amulet fell out of my shirt. I pulled the necklace off over my head. "Here you go, papasan. Safe and sound," I told him, and looped the theng back over his shaved head. His color and my vision immediately improved. That is, the gray around him vanished and a little warmth touched his cheeks, not above them but right there in the skin, where it belonged. The glow disappeared from around my hands too. I knew something strange was happening, and remembered what Heron and Mai said about the old man, but I misunderstood even then and got it backward. "You must be a holy man, papasan," I said. "You seem to have cured whatever was wrong with me."
suppose so far it sounds as if we never treated anyone but ivietnamese patients. Sometimes, the slower times that was almost true. Joe kept the native patients as long as he could, until they were as completely well as we could make them, because life outside the hospital was more conducive to dying than to healing.
But we did treat GI casualties, of course, and when they came, it was in swarms that all but swamped us. The first big push came the day after Xe's surgery. It was what I had imagined it would be like while I was in training, while I was at Fitzsimons, while I was working neuro, where we seldom got mass casualty patients except as overflow. The pushes weren't as constant as I'd believed they would be, which was just as well, because despite all my imaginary scenarios of how I would handle that kind of situation, when the first one came I definitely was not ready.
Partly, that was because of the way I had spent the night before.
Tony had ambled onto the ward during evening report and hung out at the coffeepot until I finished. "Carry your books home for you, Lieutenant?" he asked, grinning.
He'd pushed his aviator specs back into his curls and looked like a movie star playing a helicopter pilot. "Hi, soldier, new in town?" I kidded back, slipping into the space under his arm as we walked out of the hospital.
"I had to see you. You glad?" he asked. Well, I was glad he wanted to see me, yeah, but I wished he'd waited till I'd taken a shower.
"Sure am. But who's going to fly all those helicopters while you're away?"
We just fit walking hip to hip, up the barracks stairs. "I told Lightfoot, my crew chief, where to find me if he needs me," he said, slamming my screen door behind us, flipping on the fan, and attacking my top button in a single fluid motion. The room was smothering, as always, but Tony was a lot hotter. He finished my buttons and helped me with his during what was probably a fifteen-minute French kiss, if I'd been counting. And that was just the one on my mouth. "Come on, baby,"
he said, sliding with me onto my bed. "Tell me how you want it.
Well, what the hell. The dialogue wasn't exactly from Gone With the Wind, but the action was certainly impressive. He was innovative and skillful, all over me and that bed. The man had to have pored over the Kama Sutra as thoroughly as he'd studied his helicopter manuals, and he handled me with the same sort of competence. The trouble was, I wasn't a helicopter. Don't get me wrong. The sex was great, and I enjoyed it even more because I felt maybe I was finally going to have a real boyfriend, someone I could get away from work with and confide things in. So I snuggled next to him, waiting until he was comfortable to tell him about the crazy thing that had happened that morning, with the colors and so on, and about Ahn and the old man. We wedged ourselves spoonlike in the bed with the fan finally evaporating some of our mutual sweat. He tapped a pack of Marlboros against his chest until one popped up, lit it, and took a couple of long, satisfied puffs. "You'll get a kick out of this, Tony," I said. "Something really weird happened to me on the ward this morning......... I leaned up on one elbow to watch his face. He was already asleep. I sighed, wondering why I felt it was so much ruder for me to wake him up to talk to him than it was for him to screw my brains out, then fall asleep. If he was going to sleep, I wanted out of the bed and into a cool shower. I ran my fingers through his hair to remind him that I was still stuck between his butt and the wall. He rolled over, smiled lazily, and evcrything started all over again.
I climbed over him while he was in the process of lighting up the next time. He was sleeping when I returned, and I pulled off my clean clothes and slid in beside him, getting slick again from his sweat. I flipped the sheet up over us and wondered fleetingly if this was what a real honest-to-God wartime romance was like before I, too, dropped off.
I don't know how much later it was that someone pounded on the door. I woke up a little disoriented, felt Tony next to me, and thought, Oh shit, it's the colonel. "Who is it?" I asked.
The door cracked and a round brown face with a hawkish nose poked.in, looked mildly interested at what it saw, and backed out again. "Spec-5
Lightfoot, ma'am. I came for Mr. Devlin. We're on red alert now. Need to-"
"Tonto? That you?" Tony asked sharply, sitting up and pulling on his shorts and trousers as quickly as any fireman. "That's a roger, kemo sabe. Time to saddle up. We gotta didi."
He did lace his boots, but he was still buttoning his shirt as he ran out the door. He ran back and dropped a kiss on my nose. " 'Bye, babe.
Call you later."
I nodded and listened until his boots hit the bottom stair.
Still, it was a good thing I'd spent a little time in bed that evening, because the rocket attack started a short time later and I spent the rest of the night under the bed, in a T-shirt, panties, flak jacket, and helmet, keeping the cockroaches company, hugging the plywood.
What I was actually supposed to do, what we were all supposed to do, was grab flak jackets and helmets and head for the sandbag-reinforced bunker hunching up between my barracks and the one facing it. Usually, nobody even bothered to vacate the officers' club. We hadn't received heavy fire in so long that the bunkers were not taken seriously. During my first rocket attack, I had dutifully reported to the cavelike little shelter to find the chief of internal medicine suavely sipping a martini and reading an Ian Fleming paperback by flashlight. By the next time, he had DEROSed (left the country) and the bunker was unoccupied. I took one look at the dismal, hot little hole and thought of coiled cobras and scorpions and snuck back up the stairs to hide under the bed.
Which was what everybody else who paid any attention to the shelling did. I had the procedure perfected by now. I took my pillow, flak jacket, helmet, usually a paper fan and a Coke, a book and a flashlight.
It was a little like playing house under the dining room table when I was a kid. Usually I didn't mind it too much. The floor was hard, but you needed your mattress on top of the bed to shield you. That particular night I read the same sentence several times before giving up. I was plenty cool now, and I cursed Tony for being out there flying around making Vietnam safe for democracy when he should have been under the bed with me.
Then I thought about him flying around up there with all those rockets whistling through the air, and I wished I could be working, just to take my mind off it. Over on the wards, the staff would be moving the patients who could be moved under the beds. Those who couldn't would have mattresses piled on top of them. Several times already, I'd had to give meds on my hands and knees. The GIs with the facial injuries kept asking for their weapons, which were locked up, and I kept wishing I could slide under one of the beds, too, and huddle next to someone till morning. Even though I was supposed to be protecting those guys, I felt better knowing that they were there, under the beds.
You could joke your way through a shelling over on the wards, and act tough. It was less funny to lie alone listening to the shrieking rockets, the mortars crumping like God stomping around out there thoroughly pissed off.
Mentally, I composed a letter describing the rocket attack. Not to Mom and Dad, of course. I glossed over this kind of stuff when I wrote to them, knowing it would scare them a lot worse than it really scared me.
But it sounded nice and dramatic when I wrote to Duncan and might make him worry about me a little, the shit. In my imaginary letter I told him about Tony, too-well, not everything, but enough to make him
'Jealous. I'd have to get around to writing that sometime, I thought.
Then, if I was ever found with shrapnel through my throat like that nurse who was killed while sitting on a patient's bed, Duncan and Tony would both be sorry.
I had some good moments there imagining Tony berating himself for leaving me alone, and Duncan in tears when they sent my pathetic medals home to him (of course, they wouldn't. They didn't send anything to people you wished were your boyfriend. They sent all your stuff to your parents). But I got tired of that eventually. I was pooped, and the noise was giving me a headache, and my own dumb game didn't make the one going on outside seem any less stupid.
It was fine for those guys to run around at night and shoot things at each other, but how was I supposed to work if I had to toss and turn all night on the damned plywood? Probably I'd catch my death of cold, too.
If something was going to hit me, I wished it would just hit me.
Otherwise, the whole war should just shut the hell up so a person could get some sleep. All that noisy crap was just a nuisance anyhow. Nothing evej hit inside the compound. The VC couldn't afford to hit the 83rd.
Who else would they be able to trick into taking care of their wounded?
Once when George spent the night on guard duty and got pulled to work the E.R. the next day, he returned to the ward shaking his head and muttering, "They had a gunshot wound of the buttocks down there? Man, I swear that looked like the same ass on the same sapper I hit last night.
Friendly as hell this morning, though. Loves baseball, apple pie, and Elvis like you wouldn't beeleeve."
Finally, about 0300, choppers began thudding onto the pad, and their steady drone lulled me to sleep.
When I went to work that morning, the ward was transformed. The day before, we'd had only two beds on the GI side filled; now we had only two empty. Twelve bottles dangled from poles and Sarah sprinted from one to the other upending bottles long enough to squirt meds into the rubber caps or inject them straight into the new, special little chambers that came with some kinds of tubing.
The corpsmen and Sergeant Baker ferried wash water, razors, and cigarettes from the nurses' station to the patients.
"Hey, Sarge, can this dude have a drink of water?" Meyers called.
"Private Garcia here wants a cigarette, but he's got a chest tube and bottles. What d'ya think?" Voorhees called.
Sarah rehung a bottle, then consulted her clipboard. "No, he's going to surgery he called to Meyers. "Absolutely not. Not till he's Off 021"
she said to Voorhees. "But you can give him a drink of water if he wants. They operated on him last night."
Marge grabbed an armload of charts and threw a clipboard at me. We followed Sarah through the ward and she gave us a running account of each patient's wounds and what had been done for him.
The patients were mostly quiet, not saying much. They were fresh from the field, from the ambush or firelight or whatever it was that got them. Most of them had been waiting wounded for a chopper, then waiting on the chopper and in the E.R. to see if they were going to die or not, how much of themselves they were going to have to lose to get out of the war. Some were still groggy from surgery, others groggy from pre-ops before going to surgery. They all looked a little dazed, pale under tans or sunburns.
The ward buzzed with a kind of macabre carnival frenzy like the feeling I'd always had in Kansas after a long hot spell when the wind blew up and the radio blared cyclone warnings. My adrenaline rose to the occasion, jerking me from being half-awake to a clarity of mind that damn near amounted to X-ray vision. Sergeant Baker and the corpsmen, and even Marge, rushed from one end of the ward to the other, frowning with concentration but with a lively urgency to their voices and movements, making little jokes with one another and the patients.
I scribbled fast notes and started preparing the next I.V.s, slapping bottles onto the counter and decapitating them, injecting sterile water into dry powdered antibiotics and shaking ampoules until my hands were streaked with white grainy leakage of ampicillin, Keflex, and Chloromycetin. I picked up some of the manic feeling from the others.
We looked like a recruiting poster, selfless healers doing our bit for the boys.
As the patients began to wake up, from sleep or shock or anesthetic, they mostly seemed fairly happy, and in spite of their wounds, there was some 'Justification for it. They would be out of it now-out of the boonies, out of range, out of Vietnam. Clean sheets and a bath and a pain shot were more comfort than some of them had had in a year and clearly filled them with awe. Most of them remained somewhat subdued, but relief was at least as prevalent as dismay in their reactions to their situation. The magnitude of their losses, the full impact their wounds would make on their lives, didn't hit most of them right away. It was like jet lag. One minute they were in one piece in the middle of a firelight, the next they were safely tucked in at the hospital, not feeling sick but with some part of them they had come to take for granted broken, crushed, full of holes, or missing. But that was the bad news, and it would take time to sink in. The good news was that the show was over and they were going home. It was as if they thought that when they went home, everything would be made okay again. They'd be given their DEROS papers and their medals along with those pieces of themselves they would need to make it back in the States. I don't think it dawned on very many of them at first that those pieces had to stay behind, in the field, on the E.R. floor. Back in the States, they'd begin to realize they'd been gypped.
I'd already seen that side of it back at Fitzsimons, on the orthopedics (read "amputee") ward.
My civilian experience with amputees had been with elderly diabetics who lost limbs to wound infection. The guys I treated at Fitz were not elderly. They were all about nineteen, and before getting wounded every danin one of them thought he was immortal, that getting hit was what happened to the other guy. And their wounds were not gradual. Overnight they lost their mobility, their manual dexterity, their futures, their self-respect, and, in their own minds at least, their manhood. Sometimes they lost their families. Strong young men weren't supposed to be cripples.
And there I was, barely twenty-one years old, fresh out of a dorm full of other girls, knowing nothing about war, and damned little about men, maybe less about myself, or what kind of messages I was sending, or how to handle the responses I got.
The idea was I was going to be professional, tough but understanding. I wasn't going to mind a little old thing like a missing limb. I was a nurse, after all, I saw whole people, not just wounds or the space where parts that were missing were supposed to be.
It didn't quite work out how I'd planned it. My patients at Fitzsimons were experts on tough. I tried being seriously empathetic, but that was taken for pity and I was told angrily by a man who almost believed it,
"Hey, I got nothing to feel sorry about. Sure I lost a leg, but you know how much they're gonna have to pay me for that sucker?
Man, thousands and thousands. I'm set up for life!" And I didn't know how to take it when somebody offered me a necklace of Vietnamese ears, showed me pictures of mutilated bodies, or told me about the torture of prisoners.
The one that bothered me most was the handsome young guy with football muscles who purred in my ear the whole time I was wrapping the stump of his right arm, telling me with considerable relish about the rape and execution of a Vietcong nurse. I made the mistake of meeting his eyes once while I bandaged him. His eyes shone like a little kid's on Christmas Morning and a drop of saliva dewed one corner of his mouth as he told me how they had shoved explosives up the woman's vagina and lit the fuse, and what the mess looked like afterward. I could see him getting off on it, telling that story and watching me, putting me in her place. I wanted to slug him with the nearest bedpan. I wanted to tell him how sorry I was that it was only his arm that had gotten blown off.
That was only the one guy, of course, and now that I think of it, that and all of the other gross-outs, the coarse randiness, must have been a kind of advance revenge on females for anticipated defeats. A wounded war hero can be a romantic figure, but he'd better have nothing worse than some colorful scars or some vague disease he picked up in the tropics. He'd better have all his parts in pretty good working order if he comes home from an unpopular war and wants to impress girls with his potential as a combination lover and meal ticket. Some of the patients had already been rejected, put down hard. The worst example of that I knew of was Tommy, who had a crazy tobacco-stained grin and an ironic sense of humor, and who wheeled around visiting the new guys, giving them shit to keep them going. "Hey, babe, c'mon to the beauty shop with me," I heard him say in his broad Brooklyn accent to a guy with a bilateral amp of the legs who was busy cussing out his physical therapist. "You need a pedicure to get in shape for swimsuit season."
And the guy laughed a little and settled down to work. Tommy could get away with that because he had lost an arm, an ear, and an eye as well as both legs. And when his family came to visit him at the hospital for the first time, his wife and his parents took one look at him and left, and that was the end of it. Atrocities were by no means confined to Nam.
But even understanding all that, I had trouble dealing with the horror stories and with the angry, aggressive sexual advances. If you'd asked the colonel, she'd probably have told you that I invited them, that I teased the poor, helpless patients. And okay, when I say I was relatively inexperienced, I do not mean I was a virgin. I was, in fact, the black sheep of my nursing class, and all of the gently reared small-town girls in my class came to me as they got engaged and asked me where the heck to put their knees. The thing was, I didn't consider myself easy to offend and I tried to act as if anything that was said to me was cool, that I could handle it.
Usually I could. Usually passes were joking or wistful, frightened guys asking for reassurance that they were still men.
There were maybe only four or five out of over a hundred patients who really gave me a hard time, but nobody told me how I was supposed to deal with it, and nobody stopped them, so I went to work every morning with my gut in knots.
I wanted to do what I was taught in training and be accepting and nonjudgmental, see, or at least act as if I were. But these guys saw through me, or thought they did. What they saw was that I was rejecting them as maimed. And it was true that the stumps bothered me at first.
It was true that what I found sexiest physically about Duncan was his beautiful strong hands and his long legs. But lots of guys had those and they didn't turn me on the way Duncan did. What I loved the most about him was his wit, his passion for history and poetry, and his ability to make stories come to life, his silliness. I would still love him if he lost a limb or two as long as he kept those qualities. But I guess that was the problem, really. With rare exceptions like Tommy, the loss of limbs seemed to mean the loss of those other qualities, tootemporari 'Iy, at least. That was what I really couldn't deal with.
That and the fact I knew that if I were in their place, God forbid, I wouldn't take it any better than they did.
One day three of them surrounded me while I was changing a dressing and suggested that maybe since I was this helping person who cared about their problems and all, I could help them out with a little physical therapy at a local motel. In a normal setting, I'd have told them flatly that nurses don't date patients, period. But quoting rules at them provoked the same response as spitting at them. I wanted to tell them that even if I had been the whore they seemed to think me, I didn't do gang bangs. But then, part of me felt like, Why can't you guys be fair? You know how this game is played. If one of you had the decency to say thanks, we appreciate your trying to help, how about coming out to dinner and we'll get better acquainted, well, yeah, even if I wasn't completely bowled over by your charm you might guilt-trip me into something, which wouldn't be as good as if it was real maybe, but at least we'd both get laid, and feel moderately okay about it.
Instead I told them I was in love. Which I was, but Duncan determinedly had nothing to do with my sex life. I thought, these guys don't want to make love to me, they don't even like me. They want to hurt me, they want to make me feel worse than I already do. So I said I was sorry, I was not available, then added with hypocritical nursely courtesy that maybe somebody else would be interested. They said who. I was squirming by then. And it honestly crossed my mind that maybe I Just was too prudish, that maybe if I were nonjudgmental, more secure sexually, this would not sound like an invitation to rape. Whatever. The bottom line was that I threw them a sacrificial name, another lieutenant who had confided in me that she was horny. Needless to say, she never spoke to me again, and when the story got back to our C.O., I was bawled out and accused of pimping and, what my instructor seemed to think was worse, not delivering what the men said I promised.
But promises were being broken all around. Most of us in Nam were the children of the last war that was ever supposed to be fought anywhere in the world. All of the baby boys were promised that they would grow up and become successful and all of the baby girls were promised that someday their princes would come. Then along came the goddamn government and bingo, it sent the princes off to battle communism and issued them the right to hate anyone not in their unit. Then it sent them home in body bags, or with their handsome faces melted or blown away, their bodies prematurely aged with disease or terrible wounds, and their idealistic souls turned into sewers. And those were the survivors. Where the hell did that leave me and all the other women?
Realistically, I knew that Duncan was not going to change his mind and fall madly in love with me. So what if the guy who was supposed to, my real true love, my Mr. Right, was on one of these wards somewhere, so fucked up I'd never recognize him? Worse, what if he was lying in some rice paddy decomposing under a poncho' If he was among the merely wounded, I could only hope that whoever was taking care of him was better at salvage operations than I was.
Having to deal with all that again was part of what scared me about facing GI casualties on ward four, but as my grandmother would have said, I was borrowing trouble. Nobody offered me ears, nobody made any moves toward me except to grab my hand for reassurance, or to tell me I smelled good. Even the horror stories were somehow changed, though actually, many of them were the same garbage I had heard at Fitz.
Hearing them batted back and forth across the ward among members of the same unit, I realized that some of those stories were.nothing more than folktales the guys told one another to keep their courage up, make them feel like the meanest, the baddest, the worst, so bad even hell wouldn't want to fuck with them. So I tuned it out, and watched the major and Joe and Sarge and did what they did and listened to what they said.
One thing Marge did not do was put on the same kind of phony act the nursing instructors tell you to. She worked, she medicated, bandaged, and said normal, mundane things, asked trite questions that were easy to answer. "Your name is So-and-so? Where are you hit? Are you allergic to anything?" and later, "Where are you from? How did this happen?" No matter where they were from, she always knew some body from there or had visted the place, made the guy feel like some body who had once had a background and people.
Her ward policy was to give pain meds a half hour before dressing changes, and always to soak bandages in peroxide or normal saline before trying to remove them. We made a good team, and when she had a day off, I hardly noticed, because she had shown me very clearly what to do and how simple it was. Dressings and meds were all I was responsible for.
Sergeant Baker was in charge of the staff and they mostly knew what they were doing better than I did. If they didn't, Sarge told them.
He was a 91-Charlie, the same as a licensed practical nurse, and he checked my pre-op meds with me since I was still nervous about them.
But Joe Giangelo always wrote his orders and, if I had even the slightest question, dropped everything until we were both sure he had written what he intended and I knew why.
The only problem was, we were all spread much too thin. Joe was in surgery constantly after each new influx of casualties, Mai was often needed to translate in E.R. for the fresh Vietnamese casualties that frequently accompanied or arrived shortly after the GIs, and no matter how full or busy we were, some other ward always seemed to need to borrow one of our corpsmen.
And once we'd gotten the I.V. bottles hung, the next ones mixed, one round of pain meds given and dressings done on the GI side, there were always the Vietnamese patients. Dang Thi That's neomycin irrigations to her hip needed to be monitored. She was still our most critical Vietnamese patient, but her surgery had been postponed until after the crunch was over. Ahn's surgery, which was a relatively quick and simple debridement, had been left on the roster for Wednesday, which was two days after the casualties started arriving. If the kid didn't get in soon, he was going to rot away.
Marge had a day off that morning, so as soon as I'd done the rockbottom morning necessities on the GI side, I left the ward to Sergeant Baker and Voorhees and crossed to the Vietnamese side to see how Mal was doing.
Ahn, who had been fairly quiet and tractable for a day or two, was once more in full voice. O.R. should be calling anytime to tell me to give his pre-op, and it didn't look as if ong thing had been done to get him ready for surgery. If he wouldn't cooperate, the very least I expected was to find Mal trying to shush the kid or talk some sense into him.
Instead, she appeared to be engaged in furious gossip with Xinh, both girls frowning and gesturing in the boy's direction.
I held my temper. Mai was highly regarded by Joe, Marge, Baker, and both corpsmen. It had to be more than her pretty face and wet coiffure.
So in my best head-nurse voice I said, "Miss Mal, I'd like to speak to you for a moment, please." Mai ignored that, but both she and Xinh began flapping their hands at me to 'oin them.
"Tell her, Xinh. Tell her what he say," Mal said.
"You know Vietnamee soldier next to babysan, Kitty?"
"Private Dong?"
"I hear him say babysan, I hear him say, 'Babysan, you go with them-' "
She turned to Mai and broke into frustrated Vietnamese.
"Surgery," Mal supplied. "He tell babysan if he go to surgery, they cut off all his arms and legs."
"He did, did he?" I asked, very calmly, under the circumstances. The days of handling big-time crises really had done wonders for my self-control. "Xinh, thank you very much for telling us this. Mai, would you come with me, please? I'd like you to set babysan straight for me and then there are a few choice things I'd like you to convey to Private Dong."
We stood before them. Ahn looked up at me, not with the same fear and hatred he had before, but with disappointment and hopelessness. I wanted to wipe that away, first. "Please tell babysan that when he goes to surgery, Bac si Joe will only work on what is left of his left leg to try to save as much as possible. Later, the doctor will give him a new wooden leg so he can walk again. Tell babysan that Private Dong was not telling him the truth." She shushed Ahn and talked to him for some time, answering his interruptions until his expression changed to one of skepticism and worry. He glanced down at his soiled dressing and up at me and seemed about to cry again.
Then I turned to Dong, who was blowing smoke rings and smirking. I pulled the cigarette from between his fingers and crushed it under my boot. "Mai, please tell Private Dong that I'm very sorry if he thinks we amputated his legs without cause, but that is untrue. Please tell him that if I ever again hear of him frightening this child or any of my other patients with such stories, I'll personally take care of his remaining limbs with a rusty butter knife."
Mal looked a little puzzled at some of the terms, but got into the spirit of the thing and, I think, invented Vietnamese equivalents for the parts of my threat that didn't translate.
Sometime during this discussion, the phone had started ringing. It stopped of its own accord, but shortly thereafter Joe stormed onto the ward, still in bloody green scrub clothes and paper scuffs. "What the hell is going on, Kitty? They've been trying to call to tell you to give Ahn his pre-op for fifteen minutes. I'm going to lose the room if-"
I told him what had been going on. Fortunately, he was the sort of person who, when he demanded an explanation, listened to it. While I was explaining I drew up the pre-op, checked it with him, and gave it to Ahn, who accepted it with surprising readiness. Joe chewed his fingernail while I talked, looked at the little boy, and looked at Dong, who had turned over on his stomach sometime during Mai's lecture. Then kindly Geppetto turned on his heel and jerked a thumb back at Dong.
"Lose the bastard," he said. "Send him to the ARVN hospital or, if that's full, to Province. I don't want to see him again. I'll write the order when I'm through in O.R."
I caught Mai's eye. Her mouth was compressed, with a little quirk at one side, and she nodded once, sharply, with satisfaction. I almost expected her to dust her hands as if she had just finished taking out the garbage.
Rounds on the GI side were no quieter. A second push had come in around 0200 hours, so most of the men had been quiet earlier that morning, still sleeping or sedated. I knew them only by which antibiotics they were getting, and the name on their plastic wrist tags and at the foot of their beds, all of which I double-checked before handing them the pill cup under the little card carrying the same name.
I passed pills to two wan young men who accepted them with gratitude.
The second one had some questions about his cast, followed by a brief chat about the medevac procedure and his telling me he was from Pennsylvania and had I ever been there?
"Hi," I said, all unsuspecting, to the third patient. "How you doing this morning? Need anything?"
"Out of this fu-out of here, that's all," he said.
"I think that can be arranged," I told him. "You'll be going to Japan pretty soon. I see the night nurse gave you a pain shot just before we came on. That holding you?"
He nodded, but didn't look much interested in talking, so I moved on.
"Hey, Lieutenant, I could sure use a pain shot," the guy next to him said. He had his arm in a cast and the whole thing suspended in a sling from an I.V. pole.
I checked his chart. "Looks like you had a shot about two hours ago, too, corporal. It's ordered every four hours."
"But this arm still hurts like shit!"
"I'm sorry. I can give you something in about another hour, but it's dangerous to give you too much too close together."
I checked his cast. There was about a half inch of extra I-oom around the wrist and another half inch above his elbow, so it didn't seem too tight. The color in his fingers was fine, tan, still grimy around the knuckles. His nail beds were pink. A bloody spot had already appeared at the cast's pristine elbow, but that wasn't unusual, unless it got larger. No, clinically everything checked out. Unfortunately, the first couple of days, fractures just plain hurt.
"Oh shit," he said and smacked his head back down on his pillow, jingling the dog tags, love beads, and roach clip around his neck. "I don't even believe this shit. Come to a fuckin' hospital and they can't even give you somethin' for the fuckin' pain, man. Anybody got a fuckin' joint?"
Nobody offered him one, at least in front of me. I probably should have had Voorhees take him out to the Vietnamese tent to get high on the atmosphere. But it was no wonder his pain medication wasn't holding him. Even pot raised people's tolerance to pain meds, so that the same dosages were less effective. I'd had the same problem with civilian patients addicted to their prescription Valium or Librium. I decided to ask Joe about increasing the dosage, at least for the day, but didn't say anything to the patient, in case Joe didn't go for it. No sense in raising false hopes.
Farther down, a red-faced young man still wearing a splint on his left ankle suddenly sat bolt upright. He strained Is neck toward the entrance to the ward, his Adam's apple bouncing up and down, and the veins in his arms stood out so clearly I started imagining how easy they would be to hit with an I.V. needle. "Hey, ma'am," he whispered hoarsely. "Ma'am, I don't want to alarm you or nothin', but I think I just saw a zip go past the doorway."
I almost said, "What? A zip in Vietnam? Surely not!" but remembered in time that the grunt sense of humor was usually dampened considerably by being wounded. So I just told him casually that he probably had, since we had lots of Vietnamese patients and staff members.
,,But this is an American hospital!" he said indignantly. He was as young as they all were, his face deeply sunburned and peeling, with a white line near the hair where his hat or a bandanna might have been. He had frag wounds in both legs as well as the fractured left ankle. When he saw that I wasn't going to rush out and correct what he seemed to think was a terrible oversight, he continued. "Man, I don't want to just lie here with no weapon with damn zips runnin' around. You can't trust 'em. Not any of 'em. The kids will blow you up, the babies are booby-trapped- Hey, ma'am, no offense, but you know what they say about the way to win Vietnam. You take all the friendlies and put 'em in a boat in the middle of the South China Sea, nuke the country, then sink the boat."
Yes, indeed, I had heard that one. Many times. Way too many times. But I ignored it and said, "Well, most of the patients have been here for a while, and we don't let them have weapons either. They're mostly hurt as bad as you are, or worse. And the interpreters have been working here longer than I have, and haven't hurt anybody yet."
But he was still shaking his head as I moved on.
Two beds down, a man was moaning low heretical obscenities that rose in volume as I approached, to, "Oh, why me? Why did this happen to me? Aw, shit. Goddamn, this hurts like a motherfucker."
The two patients between him and me had rolled onto their stomachs with pillows covering their heads.
I checked the noisy one's chart. Crushing injuries to the soft tissue of both legs, it said. Nasty. The crisp smell of antiseptic gauze was overlaid by the tang of old blood and a touch of the sicky-sweet reek of rot. His bandages were soaked with the breakdown fluids from his crushed skin and muscle. Soft-tissue injuries were often more painful than broken bones-and healed more slowly.
"Sounds like you're really hurting," I said, checking his chart, which identified him as PFC Ronald G. Dickens. "You need something?" It had been only two and a half hours, but I was willing to stretch it and estimate a long fifteen minutes to prepare the injection. Fifteen minutes' leeway on the three-to-four-hour limit was usually permissible.
" I sure as hell do. I need you to get your ass over there to your little stash, sweetheart, and get me a fuckin' pain shot before I go through the fuckin' roof. Oh God, oh Gawd."
Nursing is such a rewarding profession. All that gratitude. Restraining myself from strangling him, I drew up the Demerol, but when I swabbed the alcohol wipe on his thigh before administering the injection lie started bellowing in my ear again. "Jesus fucking Christ, woman, you can't give it there. Not in my leg, oh shit-"
"Well, if you want to wait until I get help to roll you over-"
"And move these legs? Lady, are you out of your fuckin' mind?
I'm hurt, you stupid-"
"Hey, man, cool it," the fellow across the aisle told him. "The lady's just trying to help you."
"Fuck you," Dickens said, and while he was flipping my would-be rescuer the bird I shoved in the needle, aspirated, and pushed in the plunger before he said something I really couldn't ignore.
"I'll let that take effect and be around to change your dressing pretty soon." I ducked around to the other side of the next bed to put maximu4n distance between us, and tried to calm myself down. I knew the guy hurt and hurt badly and was probably still shocky. But he still pissed me off. Maybe he wouldn't be so nasty once the Demerol took effect. He probably realized he might lose some or all of both legs with injuries like that and would undoubtedly lose some function-it was one thing to express those feelings, even loudly, and another thing to take it out on me.
My hands shook as I disposed of the needle and syringe at the nurses'
station. Then I took a deep breath and concentrated firmly on the next patient, a Navy corpsman who was lying on his stomach because, in addition to having lost both legs, he had sustained multiple deep lacerations to his buttocks and back. I thought he was sleeping, but he turned his head toward me. "Hi, Lieutenant. Having a nice day?" he asked, grinning. "Don't answer that. Listen, I think it's about time for the heat lamp to my butt. Would you do the honors?"
I pulled back the light sheet that covered his lower half-his upper half, like that of most of the men, was already bare except for dog tags and assorted GI jewelry. His stumps were bandaged, with drainage at the ends, and I made :! note to bring more gauze to reinforce them when I changed the dressings of the charmer in the next bed. The lacerations on his hips were deep and infected, seeping green and smelling to high heaven of pseudomonas, a germ that got into everything. I pulled the silver gooseneck lamp over and cranked his bed down so that the lip of the lamp was high enough above him that it wouldn't burn him. "There you go," I told him.
"Thanks a lot, ma'am."
"Uh-you need anything for pain?"
"I think I'd better hold off. I'm going to need it a lot worse later,"
he said ruefully.
"How-uh-how did you get hurt?" I asked.
"Oh, I was helping out when the compound this bunch came from got hit. I saw this dude get hit out by the perimeter and was trying to drag him in out of range. I screwed up and dragged him across a live grenade. Threw him up in the air and blew the shit out of my legs. I don't remember any of that. I guess the Army medic saved my life, but he couldn't save my legs. They tell me I landed in a nest of concertina wire-that's how I got cut up."
"Yeah? How about the guy you dragged?"
He shrugged. "Nobody's said. I think he just took some frags, but hard tellin'. If you hear anything, I'd appreciate it if you'd let me know."
Tony called as I was finishing my charting on the Vietnamese side.
"Keeping busy?" he asked.
"Sure am, thanks to you."
"No problem. Happy to be of service. When can we get together again?"
The red-haired Special Forces type, Heron, flipped a mock salute as he passed the nurses' station on the way to visit Xe. The old man lay
','lke a poor man's skinny Buddha, hands crossed on the concave spot where his belly should have been, eyes closed. They opened when he saw Heron and he actually smiled.
"Uh-I don't know," I told Tony. "Can you come over here after work tomorrow?"
"I doubt it. We're still on alert."
"Well, I'm off Monday next week. We could go to the beach or the club, maybe.........
"Okay. Then, if not before. Gotta go. 'Bye, babe." I said good-bye to a dial tone.
Both the ARVN and Ahn were gone, I noticed. I'd passed Joe's order on to Sergeant Baker, who'd said he'd take care of it. Apparently he had.
Even as I was thinking Ahn was a long time returning from surgery, recovery room called and said they were sending him back to US.
Heron sat on the edge of Xe's bed, talking to him in a Southernfried version of Vietnamese. The old man listened and nodded and said something once in a while. Heron's large hand covered the old man's frail one. Xe's other hand was, as usual, stroking his amulet.
Sergeant Baker called for Meyers to come and help him lift someone on the GI side, so I took Ahn's vital signs myself, and made sure he turned, coughed, and took deep breaths, all of which he did so cooperatively I wondered if they'd sent us another kid by mistake.
Dang Thi That's hip needed attention next. The woman gave me a watery smile as I swished the irrigating fluid around in her wound. The wound wasn't as red as it had been, and before long might be r eady for skin grafts. I returned her smile and with forceps removed the light gauze covering the surface of the large wound and replaced it with fresh. Her breath sucked in with a sharp hiss, but as soon as I was done, she released it with a sigh and tried again to smile, although her eyes were brimming. Her face reminded me a little of that of an aunt of mine, a good woman who had a strong will, a hard life, and a lot of Indian blood. If this kind of thing had happened to Aunt Do, I could see her taking it the same way as Mrs. Dang.
While I was passing meds, Sergeant Baker, carrying his supply list, tromped onto the ward, followed by Meyers and Voorhees. Voorhees looked slightly sick.
"Pretty bad, huh?" Baker asked, chewing on his cigar while he scanned the shelves as if daring them to be short of anything we needed. When he found something, he marked it down, frowning as if he were giving it a demerit.
"No shit," Voorhees said. "I'm sorry, Sarge, but that Province Hospital is not my idea of a place to send sick people. Compared to it, the stock pens back home are the damn Hilton Hotel."
"Yeah, it ain't much of a place," Baker agreed. "But that's the way these people treat their own. Myself, I don't see it, but it's their damn country."
"What's so bad about it?" I asked.
"They didn't even have any beds, ma'am," Voorhees said, almost sputtering with indignation, "just some cruddy old mats."
"A lot of the Vietnamese don't sleep in beds at home, you know," the major told him.
"Yeah, well, not ones like these. They were all soaked with old blood and pus and stuck to the floor, and the whole place smelled like an outhouse that's been used once too often. People were lying two and three together on these damn mats, without any clothes on, or all dirty, with untreated amputations and wounds and big running sores on them. And Mrs. O'Malley-that's one of the missionaries who was there when I took the ARVN-said they don't even feed them. If somebody from the family doesn't bring in meals, the patients just go hungry. I tell you, it was gross, ma'am. Bugs crawling all over people. We might as well just have shot that guy and put him out of his misery."
I was beginning to wish I'd argued with Joe, but I'd been as mad as he was about the way Dong had treated Ahn. Still, we accepted that our own casualties would have lots of hostile feelings they worked through in pretty antisocial ways. For them, there was treatment and at least a certain amount of tolerance.
Mai, who had been charting her 1300 vital signs, chimed in. "I tell you, honest, what Gus say is true. No one get well Vietnamee hospital.
Everybody go there die. That why everybody so happy come here."
"I guess I thought Province Hospital was just like ours, only the doctors and nurses were Vietnamese," I said. But I suddenly remembered when, right after I'd started working on ward six, I met a visiting Vietnamese doctor, an educated man with a French accent and French training, touring the ward with Dr. Riley in some kind of exchange program. While the other doctors were off consulting about something, he'd stood there looking embarrassed, and, trying to put him at ease, I'd attempted to strike up a conversation. I asked, "Are you a surgeon, sir?"
"No," he'd said. He was smiling a mild and self-effacing smile that didn't prepare me for his elaboration. "No, I am not a surgeon. I am not really a doctor, by your standards. I am a butcher. I work in a charnel house." Apparently he hadn't just been modest.
Baker shook his head and waved his cigar for Voorhees to follow him into the storeroom. I was opening my mouth to ask Mai if she'd ever worked in Vietnamese hospitals before when Heron wandered over to the coffeepot. "You know, Lieutenant, we're always needing nurses for medcap missions. Could be you'd find that a real interesting way to spend one of your days off......... He was carefully polite this time, but I could hear him thinking: Instead of going to the beach all the time.
But dammit, I needed breaks from the hospital to keep me sane. A secondhand report of a place like Province Hospital was enough for me, thank you. My martyr complex only extended just so far.