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The Burn Ward

" I've seen worse, Bob. Really . . . a lot worse. "

"Sir?"

"Yes, I know," Edwards said gently. "They did get whipped."

When he got back to the burn unit, he found David in the treatment area, already floating full length in one of the whirlpool baths, his head supported on a padded board to keep it above the waterline, the water gently churning about his burnt body. His IV bottle was still working, hanging down from a ceiling hook. A few of the dressings had already soaked off and the medic was picking them out of the water. Taking an admissions chart off the wall rack, Edwards sat down on a chair next to the huge tub.

"OK?" he asked.

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David, clenching his teeth, nodded.

"David," he said, "we're going to deride you a bit-take off the dead skin. We are going to have to do it every day, a little bit at a time. That way it won't be as painful." David was looking anxiously at him. "Once you know what's going on, it won't be so bad. We're going to put you into the whirlpool every day and all the skin that is loose, or loosening, is going to be removed. It has to be done." He hesitated a moment and the went on matter-of-factly. "If we don't take it off, if just stays and decays, forming a place for bacteria to grow and divide, and you'll just get infected. That's what we want to avoid, because if the burns get infected no new skin will form. It's going to hurt, and I'll give you something for the pain when I think you need it."

"Yes, sir."

"I've been doing this a long time, David, and I know when it really hurts and when it doesn't. We're going to have to be doing this for some time and we don't want to make an addict out of you, so we're only going to use the pain medicine when we have to. I know you can do it. There have been a lot of troopers, just like you, and I know you're as fine as they are."

David had been staring up at him the whole time. What was left of his lips were clamped tight against the pain of the water churning against his blistered skin. "Yes, sir," he said, his voice trembling.

"OK, John," Edwards said. David looked nervously from him to the corpsman. Pieces of dead skin were already floating free. The corpsman, kneeling down beside the tub, began picking off those pieces that were still attached but had been loosened. "How long have you been in Nam, David?"

"Five . . . five months," David said, watching the corpsman pick a chunk of skin off his chest. He had to tug to get it off. David grimaced, barely suppressing a groan.

"How do you like the Vietnamese women?" the medic asked.

"Don't know," David said, painfully engrossed in watching the corpsman go after another piece of his skin. "Didn't meet any gooks."

"How come?" the medic asked, scooping a piece of skin out of the water.

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