Flashback
Part Four
By Pebbles
Pebbles@ukgateway.net

Rated NC-17 for language and sexual content. 

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I have no idea how long I have been in the ICU. Whilst I am completely linked up by tubes and wires to God knows what medical machinery there is no pattern to the day, like meal times to judge the passage of time by. With my eyes covered by bandages I cannot tell night from day and I have only the different voices of the staff who attend me to provide variety. 

There is constant activity. People talk over me – sometimes about me but very often they are sharing gossip or bitching about colleagues. But above all there is a complete aura of calm and efficiency. It is nothing like the hospital at Zenica 

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We arrive at the hospital at Zenica by eleven in the morning, it being only a short drive from our overnight camp. It is an industrial town dominated by the steelworks but it’s setting in a beautiful valley by the river Bosnia tempers its harshness. The hospital itself is of just average size but it has become the centre of relief activity for many aid organisations. The traffic around the hospital is horrendous and it takes ages for us to find where we are supposed to park. 

Every building around the hospital is full to overflowing with the refugees who flock here from all directions. The atmosphere is one of barely organised chaos. And everywhere there are children who look lost and forlorn, their faces thin and hollow eyed.  

I have spent a sleepless night worrying about Dugi but Zarko has assured me that his vitals are fine and, in contrast, he has had a very restful night with apparently no nightmares. I try to persuade Dugi to come into the hospital to be checked over properly but he shakes his head vehemently and walks off to help with the unloading of our supplies. I stare at his back as he strides away.  

Frustrated, after the progress I thought we had made yesterday I decide to join Elaine and Mrs Barton on ‘the tour’. We have been invited by the chief of staff Nicholaus Tomic to see round the hospital. We are of course interested in the work they are doing but to be honest the possibility of getting a decent hot shower is even more of a draw. 

“Did you know that in 1991, before the outbreak of hostilities, there were only thirty three certified emergency specialists in Bosnia?” Nicholaus is now well into his lecture and nods at us – obviously not expecting a reply to this revelation. “So, during the summer of 1993, the International Medical Corps initiated training for physicians and nurses in trauma resuscitation and emergency care. And in January 1994, the first hospital-based Emergency Department in the Balkans was opened here in Zenica Hospital.”  

There is no doubt that they are becoming victims of their own success as the number of patients flocking through their doors threatens to overwhelm them. Mrs Barton is very excited by it all and full of questions about the kind of supplies that they need.  

Later, over lunch in the canteen I tell Nicholaus about Dugi and how he was injured and that he won’t come into the hospital to be checked over. He reassures me that, as his Glasgow Coma score has been OK from the outset it is unlikely that there will be any serious repercussions. He does however warn me to watch out for any dizziness, blurred vision, nausea or mood-swings, as they would indicate possible inter-cranial bleeding. I write all of this down so that I won’t forget.

 “Where was it you said your friend was picked up?” One of Nicholaus’ colleagues asks

 “Vukovar.”

 “Oh Christ! Well that might explain it. If he was in the hospital at Vukovar when it fell then it would not be surprising if he would never want to set foot in a hospital again!” Nicholaus shakes his head. 

“Why is that?” I ask, in my innocence.

 “Because they were shelled continuously for three months. They were forced to live in perpetual darkness in the basement – operating on the patients by oil lamp and giving up their own blood for the patients. And then when the enemy eventually captured the hospital they took away the patients and half the staff and butchered them! It was an atrocity!” His face has gone white and he almost spits out the last words.

 “Oh God!” Is all the response I can muster as I try to block out the images of murder and mayhem that try and invade my mind. I am grateful that our party is interrupted by the arrival of another member of staff. She wants to know all about the press coverage of the war in Britain and I am left to gather my thoughts. I am so engrossed I have not noticed that the others have left the table leaving me alone with Nicholaus. His voice cuts through my introspection. 

“So,” having caught my attention he continues “your friend - he is most likely suffering from Post Traumatic Stress Disorder. You need to get him some help.” He smiles at me encouragingly, his eyes full of compassion.  

“Yes, of course. What do you suggest?”  

“Well, our resources here are fully stretched just trying to deal with physical injuries. I would suggest taking him abroad – if you can. There are some good facilities in Italy. I can give you the address of a hospital in Bologna. Its program is highly recommended.” He pats my arm and I can’t help thinking what a good man he is – to hang on to his humanity when surrounded by such horror. 

Later, as I am leaving the hospital to find Elaine, Nicholaus calls after me. 

“Sarah!” 

I turn and wait for him to catch up with me. 

“Be careful. I’m no psychiatrist but three and a half years is a long time to be in such a state. He is a time-bomb, just waiting to go off.” He squeezes my shoulder and I nod. 

“I’ll be careful.” 

When I return to the vehicles they are completely unloaded of their supplies and Zarko and Dugi are nowhere to be seen. I wander around for a while before finally finding them in the compound of the Orphanage. Zarko is telling a story and quite a crowd has gathered to listen. It must be a story that they are familiar with as several of the children are calling out responses. It also involves a lot of actions – Zarko makes quite a sight on his hands and knees growling like a dog! 

Dugi sits nearby on a log bench. Small children surround him and one has climbed on his lap. There is a far away look in his eyes as he rests his chin on the top of the small boy’s head. I watch from a distance.  When the story is over and Zarko gets up to leave he is mobbed by the children who obviously want more. I see Dugi give the little boy a tight hug before putting him down. A single tear escapes from his eye and runs down his cheek before he sweeps it away with the back of his hand. 

As they walk towards the gate Dugi catches my eye and I know that he realises I have seen him weep. He goes to walk right past me but I impulsively take hold of his hand. He turns to look down at me - his eyes are almost black with emotion. “I’m so sorry.” I squeeze his hand tight. “I wish I could take away your pain.” I realise that my words are woefully inadequate. What do I know about his pain? - Except that it has taken him over and almost extinguished him.  

He lifts my hand to his cheek where the tears have dried and nods almost imperceptibly. Then as suddenly he drops my hand, turns away abruptly and strides off. I bury my face in my hands – I feel so out of my depth.  

 “What’s the matter my pretty one?” It is Zarko’s friendly voice. When I don’t answer he places one of his arms around my shoulder. “Don’t be upset. You are doing so well with him. Why, he is eating more and sleeping better than I have ever known. You are doing very well.” He grins at me and his warmth is hard to resist. 

“I just want him to be better but I don’t know how.” A sigh escapes my lips. “He needs professional help Zarko. We need to get him out of this war zone.”  

“I know, I know.” Zarko sighs too. “I think now he might be ready to accept help. And it is you who have broken down the first barriers.” As we walk together he tells me of his plan to take Dugi back to the Adriatic coast with him directly after this mission. “I believe he comes from that area. One day I found him with a crumpled old postcard of Primosten – it’s a little town not far from Sibenik. He had been keeping it in his pocket a long time. It is a clue – I think.” 

“Dr Tomic said there was a good program for people who have suffered like Dugi in Italy. He gave me details of the hospital and a letter of referral. Do you think we could take him there?”  

Zarko thinks for a while. “Yes! This is a great idea – we shall all go to Italy!” He makes it sound like a holiday and, despite myself I find myself grinning. He musses my hair like he would a child. “That’s better. I like to see your pretty smile!”

 Elaine is not so impressed with our idea. I find her changing Sophie’s nappy outside our tent. We have made camp for the night, it being probably the safest place this side of Zagreb. We plan a little celebration BBQ to use up the last of our cache of beer.  

“Sarah, it’s a really bad idea. I should have known you’d get all emotional and irrational.” She chucks the dirty nappy to one side angrily ”I guess it’s my fault for bringing you.” 

I bite back the angry response that first comes to mind. I hate being patronised especially by my older sister but I don’t want to give her any further ammunition as to my emotional state. I take a few deep breaths.  “It might not be the most rational response to – to all this. But it’s something that I can do to help one person. I’d like to see it through.” 

“Bullshit!” Elaine explodes. “You think that just because he lets you hold his hand you’re fucking Florence Nightingale!” She roughly shoves Sophie’s legs back into her sleepsuit.  

“Quite honestly I don’t care what you think! I’m not asking you to come with us – just tell Mum and Dad I’ll be back in a few weeks. I’ll phone from Italy.” I walk off before I say anymore. I reach in my pocket for a cigarette and, finding a quiet spot under a tree sit down with my back against it.  

The ritual of lighting up already starts to calm my nerves and I try and justify my stance to myself. I only met him three – no two - days ago and I know almost nothing about him. He could be a murderer for all I know – sent half-mad by his own actions. But my instincts tell me otherwise and his actions – saving Zarko from the fire for example – are not those of a cold-blooded killer. The way he responds to Sophie and the children here at Zenica – well I’m sure that he has children of his own. Or did have.  

I hope I am not making a huge mistake. Nicholaus warned me to be careful and I’m well aware that I am going out on a limb. It’s just I feel like I have made a connection and, if I turn my back now I would be slamming the door shut and Dugi might never escape from his personal hell. Or am I just being melodramatic? I have no special talents – he could be ready to open up to any friendly person. Don’t kid yourself Sarah – I tell myself - you have nothing special to offer.

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 “We are going to remove your endotracheal tube now, young lady.” The voice is a new one to me and resounds with authority. His hand on my arm is soft and clammy. “I’m going to count to three and then I want you to blow out as hard as you can. OK?”  

I do as I am told and although I feel like I am going to heave it is a huge relief when it is gone. I take a small sip of the water that is held to my lips and then lie back and rest.

 “If you behave yourself and drink up plenty of fluids we can remove this IV by the end of the day. Oh, and I’ve arranged for a Dr DeRaad to come and see you this afternoon.” With this he sweeps off leaving me to my world of darkness.

 It is not long before the questions start. Tell me your name, honey. Is there anyone you want us to call? Do you understand English? They ask me in Spanish, in French, in German – in many languages I don’t recognise. I ignore them all. Why can’t they just leave me alone? 

But there is no chance of that. After a light lunch of some non-descript soup and some Jello – which thankfully I manage to keep down, Dr DeRaad arrives. He is a psychiatrist and his presence only strengthens my resolve. They are the scum of the earth and there is no way I am breaking my silence to talk to him!

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End of part 4

pebbles@ukgateway.net