The medical rules of engagement
Army surgeon lobbies hard to save Iraqi girl’s life with treatment at American hospital
By John Vandiver, Stars and Stripes
Mideast edition, Tuesday, May 20, 2008
JISR DIYALA, Iraq — Puss oozes from the gaping hole drilled behind her right ear.
A tube intended to drain excess fluid around the brain protrudes into a ridge that runs down the side of the skull to her abdomen. The scarred and malnourished 7-month-old looks like the victim of a back alley surgical hack job.
Marian, who comes from a village south of Baghdad, is running out of time.
"This is not good at all," Maj. Felix Oduwa mutters to himself as he conducts his examination.
For Army doctors, who spend a portion of their time doing medical outreach, such cases are agonizing. Oduwa, a doctor serving with the 2nd Brigade Combat Team, 1st Armored Division, knows what this child needs. He just doesn’t know whether he can deliver it.
To send an Iraqi to a U.S. military hospital, rules of eligibility dictate that life, limb or eyesight must be at immediate risk of being lost. But determining immediate danger isn’t an exact science. There are gray areas, and it’s not yet clear if Marian meets the standard.
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http://www.stripes.com/article.asp?section=104&article=54941
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