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Paradise General: Riding the Surge at a Combat Hospital in Iraq (2010)

door Dave Hnida

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IN 2004, AT THE AGE OF FORTY-EIGHT, DR. DAVE HNIDA, a family physician from Littleton, Colorado, volunteered to be deployed to Iraq and spent a tour of duty as a battalion surgeon with a combat unit. In 2007, he went back--this time as a trauma chief at one of the busiest Combat Support Hospitals (CSH) during the Surge. In an environment that was nothing less than a modern-day M*A*S*H, the doctors' main objective was simple: Get 'em in, get 'em out. The only CSH staffed by reservists-- who tended to be older, more-experienced doctors disdainful of authority--the 399th soon became a medevac destination of choice because of its high survival rate, an astounding 98 percent. This was fast-food medicine at its best: working in a series of tents connected to the occasional run-down building, Dr. Hnida and his fellow doctors raced to keep the wounded alive until they could be airlifted out of Iraq for more extensive repairs. Here the Hippocratic Oath superseded that of the pledge to Uncle Sam; if you got the red-carpet helicopter ride, his team took care of you, no questions asked. On one stretcher there might be a critically injured American soldier while three feet away lay the insurgent, shot in the head, who planted the IED that inflicted those wounds. But there was levity amid the chaos. On call round-the-clock with an unrelenting caseload, the doctors' prescription for sanity included jokes, pranks, and misbehavior. Dr. Hnida's deployment was filled with colorful characters and gifted surgeons, a diverse group who became trusted friends as together they dealt with the psychological toll of seeing the casualties of war firsthand.  In a conflict with no easy answers and even less good news, Paradise General gives us something that we can all believe in--the story of an ordinary citizen turned volunteer soldier trying to make a difference. With honesty and candor, and an off-the-wall, self-deprecating humor that sustained him and his battle buddies through their darkest hours, Dr. Hnida delivers a devastating and inspiring account of his CSH tour and an unparalleled look at medical care during an unscripted war.… (meer)
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medicine bookbox; family doc in his 40s deploys twice to Iraq, this book is about his time during the second deployment at a combat support hospital. When he got there, the medics and all called it f*&%king Paradise, so Paradise General it was. He had a smidge of time to partner with the outgoing doc, before becoming the ER Trauma jack-of-all-trades. Along with other docs that rotated in with him, including a surgeon and ortho doc, they just patched everyone up with "spaghetti and meatball" surgery and then they were sent along to Germany (the Americans) or Iraq hospitals (the Iraqi police and soldiers). And sometimes he's running Sunday clinic, full of sore throats, hemmorhoids, and migraine headaches. Dehydration was an issue too, as the temp was 90 degrees at night and 130 degrees during the day. The choppers ("birds") would land just outside the ER tent, rocking the camp which he got used to after a while. The medics would sprint the wounded in, Dave and others secure the airway, IVs into each arm, dump in blood for most and scoot them out the back door into the OR tent for patching up for flight. Sterile it was not - and no way to make it so. So antibiotics heavily pumped in too. Quite an interesting read. ( )
  nancynova | Dec 20, 2020 |
Heartwrenching. Powerful. ( )
  WhimsicalPagan | Apr 11, 2018 |
My emotional reaction to this book echoed my emotional reaction to The Good Soldiers: We should read and reread these books to face the cost of our war in Iraq. It's one thing to read the memoirs of soldiers, and it's a good thing. But it's something else to read about a combat hospital, where day after day, broken body after broken body literally embody the cost of war. These books leave me utterly disgusted with civilian and military leaders who excelled at logistics and failed at humanity.

I am in awe of the soldiers and doctors and medical staff who rise above their leaders to look after one another.

Other than the emotional impact, this book is an easy read, simply illustrating the author's insights and memories of his second tour in Iraq. It was a pleasure to be introduced to Dr. Hnida and get to know him a little bit. I was especially intrigued by his complex motivations for serving: he wanted to understand his father better, and to atone -- or at least act in opposition to -- evils whose aftermath he had witnessed close to home, including Columbine. ( )
  read.to.live | Nov 7, 2012 |
The author's view on the day to day life on a FOB is certainly entertaining and all his descriptions of the work at the hospital are, at the very least, endearing. One can only hope that he will decide to publish a book about his experiences on his first deployment. ( )
  emed0s | Jan 16, 2011 |
Paradise General is a personal memoir about a 3 month tour of duty in a M*A*S*H-like hospital in Iraq in 2007. Dr. Hnida ("Dave") talks about the intense injuries and drama that arrive by helicopter carrying plenty of horrible things like limbs/face/balls/heads blown apart, soldier gang rape, suicides, cancer, etc.. not meant to shock, it's the reality of what they do. Dave is very human, able to show a wide range of emotions such as fear of his first days facing responsibility for someones life, anger at Army protocol that keep him out of the mess tent without socks, compassion for a young mans life who he was unable to save, and good natured humor all around. The many swings of emotion in the book reflect what it's like in an ER and you come out of it a little exhausted, maybe a little changed. To his credit Dave allowed a dozen or more people he worked with to read the unpublished manuscript to correct it for inaccuracies. This of course means we don't get any real dirt or nastiness, but that is alright by me. It's also pleasantly free of political bickering, ideological slant and soap boxing. Dave is an Everyman, volunteering to do his part for his country, making the best of bad situations and happy to return home to wife and kids. Despite the horror of the job, Dave retains a positive outlook and good sense of humor to remind his patients, and us: so long as your alive, everything is good.

--Review by Stephen Balbach, via CoolReading (c) 2010 cc-by-nd ( )
  Stbalbach | Jun 12, 2010 |
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IN 2004, AT THE AGE OF FORTY-EIGHT, DR. DAVE HNIDA, a family physician from Littleton, Colorado, volunteered to be deployed to Iraq and spent a tour of duty as a battalion surgeon with a combat unit. In 2007, he went back--this time as a trauma chief at one of the busiest Combat Support Hospitals (CSH) during the Surge. In an environment that was nothing less than a modern-day M*A*S*H, the doctors' main objective was simple: Get 'em in, get 'em out. The only CSH staffed by reservists-- who tended to be older, more-experienced doctors disdainful of authority--the 399th soon became a medevac destination of choice because of its high survival rate, an astounding 98 percent. This was fast-food medicine at its best: working in a series of tents connected to the occasional run-down building, Dr. Hnida and his fellow doctors raced to keep the wounded alive until they could be airlifted out of Iraq for more extensive repairs. Here the Hippocratic Oath superseded that of the pledge to Uncle Sam; if you got the red-carpet helicopter ride, his team took care of you, no questions asked. On one stretcher there might be a critically injured American soldier while three feet away lay the insurgent, shot in the head, who planted the IED that inflicted those wounds. But there was levity amid the chaos. On call round-the-clock with an unrelenting caseload, the doctors' prescription for sanity included jokes, pranks, and misbehavior. Dr. Hnida's deployment was filled with colorful characters and gifted surgeons, a diverse group who became trusted friends as together they dealt with the psychological toll of seeing the casualties of war firsthand.  In a conflict with no easy answers and even less good news, Paradise General gives us something that we can all believe in--the story of an ordinary citizen turned volunteer soldier trying to make a difference. With honesty and candor, and an off-the-wall, self-deprecating humor that sustained him and his battle buddies through their darkest hours, Dr. Hnida delivers a devastating and inspiring account of his CSH tour and an unparalleled look at medical care during an unscripted war.

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