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.