About the Book
From the bestselling author of BushNursesand Nursesof theOutbackcomes this collection of compelling and moving stories of our heroic nurses in the Vietnam War.
Being a nurse always requires a cool head, a steady hand and an open heart. But if you're working in a war zone, the challenges are much harder. When Australia joined the Vietnam War, civilian and military nurses were there to save lives and comfort the wounded. With spirit and good humour, they worked hard and held strong, even though most of them were completely unprepared for the war before they landed in the middle of it.
Working incredibly long hours and surrounded by chaos and turmoil, these brave nurses and medics were integral to our war effort. These fifteen stories show a side to the Vietnam War that has received little recognition but played an important part in shaping Australia's presence in the war. From flying with critically wounded Australian soldiers out of turbulent war zones, to being held at gunpoint, the compassion, courage and grace under fire in Our VietnamNurseswill inspire and astound.
15 At the Other End of the War
Backgroundandtimeline
Acknowledgements
Aboutthe Author
Dedicated to every Australian who nursed in Vietnam 1964–1972.
She’sanurseinVietnam
She’sallofthem, She’soneofus, Bornbeneath, TheSouthernCross, Sidebyside, Wesaywithpride, Sheisallofthem, Sheisoneofus.
Heisoneofus
Theyareoneofus.
‘SpiritoftheAnzacs’
byLeeKernaghan,GarthPorterandColinBuchanan
Foreword
The Honourable Dame Quentin Bryce AD CVO
I have always had enormous respect, admiration and affection for nurses. I envy their competence and confidence. They always seem to know how to take charge and what to do.
As a little girl in central western Queensland I observed how important nurses were in our community and the leadership hospital matrons and sisters gave. They are highly valued wherever they serve. I have enjoyed opportunities to acknowledge the contribution of Australian nurses and the diversity of their careers on special occasions such as International Nurses Day.
I am inspired by the dedication and commitment to caring for others that I continue to see in our largest city hospitals, in regional centres and in our smallest remote communities. Our nurses have their feet firmly on the ground and their eyes perfectly focused on the subject at hand. My sisters Diane and Revelyn, who had enriching careers in nursing, have had a powerful influence on my life.
It has been a particular privilege and pleasure to read the stories in this engaging book. They have emerged from the memories of some of the Australians who nursed in Vietnam during the years of our participation in the Vietnam War.
Responding to an invitation from the government of South Vietnam to the Australian government of the day and under the auspice of the Southeast Asia Treaty Organisation (SEATO), more than 200 civilian nurses from major hospitals all over Australia answered the call to join the surgical teams that went to South Vietnam to share their expertise with the civilian population around Long Xuyen and Bien Hoa.
Their stories share the grim reality of living and working in the most difficult conditions, to help poor and displaced Vietnamese people. As they worked their way each day through long lists of routine surgery, the team was constantly aware that another influx of civilian war casualties might already be on its way in. On several occasions the civilian nurses had cause to be very afraid.
One hundred and six nursing officers from the Royal Australian Air Force Nursing Service (RAAFNS) were deployed to the No 4 Hospital at Butterworth Air Force Base in Malaysia to care for the military personnel based there and to fly medivacs into Saigon or Vung Tau evacuating wounded Australian soldiers back to Butterworth and then home. Between 1965 and 1971, thirty-two of them were attached to the United States Air Force for sixty-day rotations flying missions into Vietnam day after day to evacuate wounded American and Korean soldiers. Some of their stories are alarming and confronting.
During my years as Governor-General, I held the honorary position of Colonel-in-Chief of the Royal Australian Army Medical Corps (RAAMC). It was with great interest I read about a few of the fortythree nursing officers from the Royal Australian Army Nursing Corps (RAANC) who worked in Vung Tau between 1968 and 1972 supporting the RAAMC. When Terri Roche arrived at the 8th Field Ambulance at Vung Tau in May 1968, she was one of the first four army nurses to be deployed to Vietnam. By the time Maureen Patch went to the 1st Field Hospital in Vung Tau in 1970, much had changed and yet some things were the same.
I have had a long association with the Australian Red Cross, so it was with special appreciation that I read about Janice Webb as she supported 21-year-old Jethro Thompson through several weeks of touch-and-go treatment in the American 36th Evacuation Hospital until he was well enough to return home to Victoria. The contribution of the young women of the Red Cross, who literally held the hands of all of the wounded Australian soldiers in Vietnam and gave them a lifeline to home, can never be underestimated.
Nursing is not exclusive to women, however, and the medics who nursed in Vietnam are well represented by Phillip Campman and Wayne Brown, both national servicemen who had no desire to go to war but once there, committed themselves to providing the best care possible to their brothers in arms.
In 2012, as Governor-General, I was honoured to undertake the first Vice Regal visit to the Cross at Long Tan. It commemorates the eighteen Australian soldiers who were killed in the Battle of Long Tan. Corporal Phill Dobson was the medic attached to Delta Company. He and his stretcher-bearer dug a ditch behind a slight knoll to establish a company aid post and, surrounded by the battle and in torrential rain, saved every one of the twenty-two wounded Australians who ended up in his ditch.
OurVietnamNursescelebrates all of the Australians who nursed in Vietnam. Some of their stories are heartbreaking, some are funny, some are horrifying. All are testament to the courage, resilience and resourcefulness of nurses. To each and every one of them and their colleagues who went to Vietnam with them, I extend my gratitude and praise for a job magnificently done.
Introduction
Annabelle Brayley
I’m a firm believer that things happen for a reason even though it’s not always obvious at the time. Three years ago I was travelling in the Northern Territory interviewing people for NursesoftheOutback when someone asked me if I knew any nurses who went to the Vietnam War. I didn’t and, focused as I was at the time on remote area nurses, I didn’t give it another thought. Some months later I chanced upon an article about the Battle of Long Tan and the conversation popped back into my head.
To be honest, I’d never thought about nurses being in Vietnam, even though I trained as a nurse and I’m old enough to remember that particular war. My eldest brother was called up in 1971 shortly before Prime Minister William ‘Billy’ McMahon announced the final withdrawal of Australian troops from Vietnam. He graduated from the officer training unit at Scheyville and completed his national service with the 3rd Battalion (3 RAR). Although neither of their birth dates came up, my next brother and my husband both had to register in the second-last round for national service in 1972. I remember the soldiers, the protests and the vitriol that was directed at Vietnam veterans, but I don’t remember ever hearing any mention of nurses.
Having been prompted to think about it, I realised that nurses must have been there. All those wounded Aussie diggers must have been looked after by someone. At the time, it seemed reasonable to assume that any nurses who went to Vietnam would have been in the army, so I googled accordingly and was not surprised to find that members of the Royal Australian Army Nursing Corps (RAANC) were deployed to South Vietnam. The first four nursing officers arrived at the 8th Australian Field Ambulance (8 Fd Amb) – a medical unit located within the Australian Logistic Support Group compound at Vung Tau – in May 1967. In April the following year, the 8 Fd Amb transitioned into the 1st Australian Field Hospital (1 Fd Hosp). In total, forty-three nurses from the RAANC worked at the 1 Fd Hosp, which remained operational until December 1971 when most of Australia’s ground forces returned home.
Because it made perfect sense, I was also not really surprised to learn that more than 100 Royal Australian Air Force nurses, deployed to Butterworth RAAF Base in Malaysia between 1965 and 1972, flew medivac flights into Saigon, Vung Tau or Bien Hoa to evacuate wounded Australian soldiers back to Butterworth and then on to Australia. Once I found some of the RAAF nurses I was, however, astonished to hear that, one after another, thirty-two of them had been posted on sixty-day attachments to the United States Air Force 902nd Aeromedical Evacuation Squadron based at Clark Air Field in the Philippines. As fully acknowledged members of those US flight crews, they flew missions all through South Vietnam, landing at multiple American bases on each run to evacuate wounded American and Korean soldiers back to Clark Air Field or to bases in Japan or Korea. At least one of the nurses also flew missions with the 903rd AES based out of Cam Ranh Bay in South Vietnam and with the 57th AES evacuating Americans back to the US.
And then there were the civilian nurses. I was stunned to discover that more than 200 nurses from around Australia had been members of the South-East Asia Treaty Organisation civilian surgical medical
teams that operated in Vietnam between 1964 and 1972. In response to a request from the government of South Vietnam to the Australian government, these teams operated in provincial hospitals supporting and assisting local hospital staff. The nurses went to Vietnam for three to twelve months depending on circumstances, and some of them went more than once.
It’s no secret that my heroes are nurses, but clearly this lot had flown right under my radar.
Fortuitously, one of the first nurses I located and met with was Colonel Jan McCarthy, the president of the Returned Nurses RSL Sub-Branch, Victoria. Jan not only nursed in Vietnam, she was also a career army nurse who ultimately became Director of Army Nursing Services and Matron-in-Chief of the RAANC in 1988. After confirming the information I’d found thus far, Jan gave me a couple of contacts to begin my search. I went away promising to return in due course to interview her for her own story.
Convinced by then that, as a nation, we’d not only disregarded the enormous contribution these nurses had made, but also ignored their very existence, my idea of sharing their stories morphed into a mission.
Meeting the people who nursed in Vietnam and listening to them reminisce has been one of the most humbling and rewarding experiences of my life. A couple of them preferred not to be included in the book, but nonetheless offered unstinting support and encouragement. All of them were unfailingly generous, loyal and trusting, and treated me as an equal – the defining features of the mateship that distinguishes Australians at war.
At times it was harrowing to hear their stories. How much more so for them to have lived them? For the civilian nurse who stood trembling with fear in the foyer of a provincial hospital while a Vietnamese soldier jammed an assault rifle in her chest and screamed at her; for the flight nurse working in the confined space of a medivac plane, surrounded by tiers of wounded young
servicemen, focused only on keeping them alive until they arrived in the safe haven of a hospital outside the war zone; for the young army nurse who realised that the dead soldier newly arrived on the dustoff chopper was in fact one of her friends; for the Red Cross girl sitting with an Aussie digger whose life she knew was never going to be the same again, reading his letters to him because he could no longer hold them for himself; for the nineteen-year-old stockman who was called up from an isolated cattle station and sent to the wards of the 1st Fd Hosp to nurse other young men wounded in a war none of them understood.
I spent a fair bit of 2015 drying tears off my keyboard. And holding my breath.
The year I spent collecting these stories certainly didn’t turn me into an expert on the war in Vietnam. Nor is OurVietnamNursesa concise history of nursing in that crazy Asian war. Rather it is a collection of anecdotal stories retrieved from people’s memories and perceptions of an event that made such an impact on them, its significance is undiminished all these years later. Some of them have shared their stories before; some of them never have, and certainly not as publicly as this.
Right from the outset, it seemed appropriate to release this book in 2016, the fiftieth year since the Battle of Long Tan, a time when Vietnam will be in all our minds. In one of the many curious coincidences that marked this journey, a couple of months before deadline I was procrastinating about writing one morning and, because it was close to 18 August, the date the Battle of Long Tan took place, decided to watch a documentary about it that I’d known existed but never seen. Produced by Martin Walsh and Red Dune Films in 2006, it briefly featured Phill Dobson, the medic who nursed twenty-two casualties on that terrible day, keeping every one of them alive despite a torrential downpour and the battle raging around them. Galvanised by the possibilities, I knew I had to try to find Phill and see if he would share his story. He’s held in such high
esteem by the men of Delta Coy, 6 RAR, and by those who know of his deeds that including his story among those of the incredible nurses who prompted this book seemed not just appropriate but timely.
Obviously not everyone’s story is told here, but I would like to acknowledge every Australian who nursed in any capacity in South Vietnam during the Vietnam War. And, although none of their specific stories are included here, I’d like to acknowledge all the New Zealanders who went and shared the workload with their Australian counterparts in the spirit of the ANZUS Treaty.
The military appears to change names fairly frequently so, while I’ve endeavoured to be accurate with military designations and rankings, I have in some instances used the most commonly known names to avoid confusion. I have also opted to order these stories along narrative lines, rather than follow a strict chronology. My primary focus at all times has been to embrace the essence of the stories, to capture the different perceptions of the participants and to convey the impact of their experiences.
There is so much about this project that has just fallen into place. As I sat at my desk writing, I regularly listened to Spiritofthe Anzacs, Lee Kernaghan’s tribute album of 2015, and especially to the track of the same name in which Jessica Mauboy sings ‘She’s a nurse in Vietnam . . .’ That and the opportunity to hear the Spirit of the Anzacs concert live at the Empire Theatre in Toowoomba seemed like a perfectly timed endorsement.
I have said in the past that I never planned to be a writer, and I didn’t, but OurVietnamNurseshas convinced me that this is why I ended up one. I’m so grateful to have had the opportunity to meet these amazing people and share their stories. They are ordinary Australians who, one way or another, answered the call to serve their country and, in doing so, achieved remarkable things. We should all be proud of them. Not only did these stories need to be
told, but in the telling and reading of them, we can acknowledge them, thank them and, very belatedly, welcome them home.
Yes Please, We’ll Go
Susan Sherson née Terry / Anne Boucher / Noelle Laidlaw née Courtney / Anne Lindley Royal Melbourne Hospital surgical team Long Xuyen, October 1964–November 1965
Clearly deteriorating before their eyes, the young Vietnamese man was almost dead as they wheeled him into one of the two theatres at the Long Xuyen provincial hospital. He’d been shot in the abdomen. His pulse was thready and rapid, his blood pressure dangerously low. One of the doctors inserted a cannula and got an IV going while theatre nurses Anne Boucher and Jenny Jones prepared the scene for immediate surgery. Susan Terry pumped a couple of half-litre bags of plasma into the patient before he was moved onto the theatre table, where the anaesthetist put him to sleep. Once he had been skin prepped and draped with sterile towels, the surgeon opened him up.
The man’s bloodied gut was a writhing mass of wriggly, pale pink Ascaris worms, large intestinal roundworms that live in the small
bowel and are most often spread when faeces ends up on the ground, enabling the eggs to be deposited in the soil. The cycle continues when hands that have been in contact with that soil then prepare earth-grown vegetables or fruit without proper washing or careful cooking. Three months into their tour and toughened up by the many challenges associated with working in a foreign environment, the surgical team were well acquainted with these parasites and were not surprised or daunted by the sight. They just got on with the job.
It was immediately obvious that the man’s bowel was badly damaged. He’d bled a lot into his abdominal cavity and would need a transfusion, but the nearest blood was at least 60 kilometres away.
Aware that the Vietnamese weren’t familiar or comfortable with donating blood, Susan and radiographer Noelle Courtney – both of whom belong to the universally accepted O positive group –volunteered to give blood for the patient. By demonstrating that giving blood was not life-threatening but rather was a way to help him, they were able to coerce the man’s anxious relatives into sharing some of theirs as well. The Australians’ prompt and decisive action foreshadowed the beginnings of a proper blood bank in Long Xuyen, although it took considerable encouragement to convince the broader South Vietnamese community of its desirability. A proper meal and a drink, provided by the hospital post-donation, assisted the process.
Meanwhile, back in the operating theatre, Anne was dealing with the worms. Having assisted the surgeon to flush them out into kidney dishes, she disposed of them while he began cleaning and repairing the torn and shredded bowel. Against the odds, the young man survived and, thereafter, whenever he saw Susan and Noelle he would bow and tell them gratefully, through an interpreter, that he’d been born twice; once through his mother and the second time through them.
Australia already had army training personnel on the ground in the northern provinces of South Vietnam and six RAAF Caribou transport planes based at the port of Vung Tau when the first Australian surgical team arrived in Long Xuyen in October 1964. The Royal Melbourne Hospital surgical team was seconded by the Department of Foreign Affairs in response to a request from the government of South Vietnam to the Australian government for medical and surgical assistance. By that time, in response to the same request, the United States had built and equipped surgical suites in more than two dozen civilian hospitals throughout South Vietnam, including Long Xuyen, and already had their own surgical teams working in some of them, alongside teams from the Philippines, New Zealand, Japan, Italy and Korea. Others joined them later from the United Kingdom, Switzerland, Spain, Germany and Iran.
The Australian teams initially comprised two surgeons, one anaesthetist, a physician registrar, three registered nurses and a radiographer. Their role was to assist the staff at civilian hospitals across South Vietnam in the absence of Vietnamese doctors, more than half of whom had been seconded to the army.
Because they were all specialists with private practices to consider, the Australian doctors generally rotated every three months, while the nurses and allied health staff were offered six- or twelve-month blocks. Unlike the nurses who later volunteered to join the various surgical teams, Susan, Anne and Jenny were all specifically asked, with about three weeks’ notice, if they would go.
Although the nurses didn’t know each other well, they were aware of each other among the huge staff at RMH. At the time, all of them agreed that it sounded exciting and, as Susan says, ‘Since the Boer War, Australian nurses have gone to war because they want to assist and there’s a chance for adventure.’ Anne was already in her late twenties and had previously been to London and to Africa, where she worked with a cardiac surgery team for twelve months. Even so,
she says she had no idea what to expect in South Vietnam; nor did the others, but they were keen to find out.
As well as the gesture of friendship they were extending to the Vietnamese people on behalf of Australia, the RMH team were going to provide whatever surgical care or medical advice the staff of the civilian hospital requested. In addition, they hoped to be able to share their experience with and teach their skills to their Vietnamese colleagues.
Because the invitation to go to Vietnam came through Foreign Affairs the nurses knew they would travel on diplomatic passports, which had to be organised in a very short space of time, along with visas, ASIO checks, vaccinations, X-rays, tropical clothes and anything else they wanted to take with them.
At the end of a hectic three weeks getting everything organised, Susan, Anne and Jenny enjoyed the luxury of first-class Qantas seats when they flew out of Melbourne with their surgeon/team leader, an anaesthetist, a surgical registrar and Noelle, their radiographer, overnighting in Singapore on their way to Saigon.
Flying into Vietnam, the nurses gazed down at tiny communities dotted among the muddy waters of rice paddies that lay between slabs of solid green jungle. The tributaries and streams of the Mekong Delta wove through the landscape, leading them to the city of Saigon. Circling Tan Son Nhut airport and seeing the rows upon rows of military aircraft lined up added an extra tingle of excitement. They were met in Saigon, with great fanfare, by the Australian Ambassador Mr Harold David Anderson and his wife, Annabel, the Vietnamese Foreign Minister, Dr Quat, and the General Director of Health and Hospitals, Dr Truong. A man from the Australian Embassy eased them through customs, and guided them to the VIP lounge where they were greeted with a huge banner saying WELCOME THE
AUSTRALIAN MEDICAL TEAM. What really got their attention, however, was a group of beautiful young trainee nurses from the Saigon School of
Nursing wearing traditional ao dai, who welcomed them with garlands of fresh gardenias and frangipani.
The team stayed in Saigon for a week of meetings, Vietnamese language lessons (although they concede it was easier to resurrect their rudimentary high-school French), orientation into the United States Aid Program in Vietnam and hospital visits to see the work being done locally. So much was different to what they were accustomed to at home.
Although they had to be back in their hotel by the city-wide midnight curfew, in the evenings they engaged in various social events, meeting new people every day, all of whom seemed fascinated by the Australians, especially the nurses. As they travelled around the city from appointment to appointment they enjoyed the sights and sounds of the very French-influenced capital, always aware, however, of the heavy presence of Vietnamese and American troops. While there were signs of extreme poverty in some places, the nurses mostly remember Saigon as a beautiful, busy metropolis in which, despite the obvious economic, social and often physical challenges faced by some, the Vietnamese people seemed to be happy and their children well-loved.
Their memories of that first week are dotted with moments of weirdness, like the hot but gorgeous autumn day when they went waterskiing on the Saigon River with some Australian and American expats. As they sped down the river, happily socialising with their new friends, they passed a US patrol boat; laughing and waving madly, they were a little stunned when the navy boys waved back with rifles in their hands. It was somehow typical of the contrasts that characterised their first impressions of South Vietnam.
By the time they boarded an old DC-3 for the short flight to Long Xuyen, about 180 kilometres south-west of Saigon, on a hot, steamy October morning, the nurses were keen to get on their way and begin their mission. Having arrived in-country in first class, they now found themselves in canvas seats slung along the walls of the plane,
with no air-conditioning, and all their luggage and medical supplies piled on the floor between them.
The province chief, who’d declared a public holiday to celebrate their arrival, was waiting to greet them in Long Xuyen, as were the sixteen US military personnel stationed at the nearby Military Assistance Command, Vietnam (MACV) centre. The nurses were amused when they heard, much later, that one of the American soldiers at MACV had read a notice about three sisters coming to work at the hospital and had drawled frustratedly, ‘We’ve been here nearly a year and the first round eyes we see are fuckin’ nuns!’
The surgical team was astonished at the festival-like reception that greeted them. They found it incredibly moving that the Vietnamese had gone to so much trouble, although their lips twitched when a local band launched into an out-of-tune rendition of ‘Waltzing Matilda’. As they drove to the house of the province chief for a welcome lunch, they were fascinated to see groups of adults and children lining the route all the way from the airport waving Australian and Vietnamese flags; it just added another layer to the montage of strange impressions they were accumulating.
Once the festivities drew to a close, the team was taken to their accommodation. Compared to Saigon, Long Xuyen was really just a large country town and not a particularly lovely one, although there were many fine-looking buildings, including the hospital, that were products of French colonialism. Even though some people were quite well off, the town was obviously poor in places and clearly most people were not affluent. The majority of the population lived in tiny homes, in sampans on the water, or in the surrounding villages growing produce for the market stalls of Long Xuyen and beyond. To the newly arrived Australians, it was a moving kaleidoscope of colour.
The house the surgical team was to reside in was still being refurbished when they arrived, so they were relegated to one floor of a very basic hotel, which they felt compelled to scour from top to
bottom as soon as they rounded up some scrubbing brushes. With typical pragmatism, Anne Boucher says, ‘It was all pretty filthy but we soon got it cleaned up.’ Then there was the problem of food. Although some of the hotel guests appeared to be catered for, there were no meals available for the surgical team; however, the Americans welcomed them over at MACV, fed them three times a day and plied them with as much Coca-Cola as they could drink.
Back in their rooms, the huge, chirruping geckos that adorned their walls and crawled across their beds were a constant source of disquiet to Susan, although she admits they were handy mosquito catchers. The nets that draped their beds were not always an effective barrier against the mozzies that provided just one more buzz in the chorus of their noisy nights. ‘It wasn’t unusual to be woken by the snores of the guards who were supposed to be protecting us,’ she explains, and there was constant movement around town, even before 4 a.m. when the villagers started arriving to set up their market stalls.
Curious to know why there were often young women hanging about the lower floors of the hotel, they were a tiny bit shocked when they learnt that their ‘hotel’ was actually the local brothel. Fifty years on, they laugh gaily at the memory, although Noelle says, ‘After we heard that, I used to lie there some nights and wonder just who else had been in my bed!’ It was one of a number of less lovely realities they faced, but by no means the most confronting.
When they rocked up to the hospital for their first day on the job they discovered that, although there were supposed to be about 400 beds, there were, in fact, over 600 patients and their relatives. There were people everywhere; on the beds, in the beds, under the beds, squatting around the walls and spilling out onto the verandah. And they were all jumbled in together, men, women, boys, girls and babies, with relatives adding to the mix, especially at night.
Nursing care, as they knew it, was almost nonexistent in Long Xuyen. The fully trained Vietnamese nurses were technically highly
skilled and very competent, but had very little time for basic nursing care because there were so few of them and their patient loads were so huge. Hence the families stepped in to help. The Australians quickly grasped that all treatment ceased at 5 p.m. when the nursing staff went home for the day and that patient care was provided by relatives under the eye of one unskilled staff member per hundred or so patients.
In the first couple of weeks, before Vietnamese faces became more familiar and before interpreters were engaged to help them, it was hard to tell one patient from another. The nurses tried to devise a numbering system, but it didn’t work very well because there was often more than one patient in each bed and they kept moving around without warning. It was a complicated problem that Susan for one resolved by double-checking the diagnosis of the patient as a first clue; if they had a lump, she looked for one; if they had a wound, she double-checked it was in the right place and so on. It was by no means fail-safe, but somehow they managed to treat the right patients for the right things. Reflecting on the value of the interpreters they were ultimately assigned, Susan says, ‘They were invaluable, became our firm friends, and on many levels made our lives much less complicated.’
The Australians had been invited to take over running the surgical suite, which had two operating theatres on either side of a main room that contained the scrub-up sinks and patient waiting area. The suite also provided a small office, the recovery room, change rooms and central supply room. Having quickly established a protocol in the theatres, the surgeons got down to operating.
The very first procedure they performed was on a small boy who presented with serious abdominal pain that the doctors diagnosed as appendicitis. When they opened him up, his appendix was fine but they were appalled to find that his gut was full of the Ascaris worms that were to dog so much of their future theatre work. The worms had perforated the boy’s bowel and, determined to make a positive
impression, the team agreed they needed to achieve a really good outcome to build community confidence. Over the months ahead the worms were a common problem that ensured they repaired a lot of bowels in the course of their appointment.
Sterilising quickly became one of their greatest challenges, as the autoclave, which resided in the central supply room, often didn’t work because the electricity supply was erratic at best and failed at least once a day. While they were able to boil their instruments in a small water steriliser, they could only autoclave their theatre linen when the power was on. Eventually an engineer from the US Navy assembled a big military autoclave for them, outside on the verandah. It ran on fuel so it was totally reliable, but until then, linen sterility was a job they prioritised as soon as the power was restored each day.
Six weeks after they arrived, just as they were starting to feel as though they were getting the hang of things, the RMH team moved out of the hotel and into their house, a villa they nicknamed ‘the White House’ even as its glossy new coat of white paint was drying. The fiercely patriotic MACV boys and visiting Americans weren’t nearly as amused by this as the Australians, but the name stuck.
Despite the refurbishment efforts, the villa reflected its history. Built by the French to house the colonial district administrator, the Japanese had commandeered it to use as headquarters for the duration of their occupation in World War II. The scars of their attempts to burn it down when they left still adorned the stone-tiled floors when the Australians moved in.
Finally installed in their proper home – although initially they didn’t have a kitchen and still ate at the MACV – the nurses found themselves settling into a routine. However, their days were never predictable. As the Vietnamese became more comfortable with the services the team was offering, the theatre lists grew and the surgeons were soon repairing gross deformities, removing hugely enlarged goitres and mending harelips and cleft palates, often on
adults, including the elderly, and excising large benign tumours that impaired the lives of the people they afflicted. A plastic surgeon joined them for one three-month block, which enabled them to offer some life-changing cosmetic repair work, and another time they had access to a US orthopaedic surgeon who provided some serious reconstructive surgery.
In between the elective repairs, they dealt with any emergency that crossed the surgical suite foyer. Some of them were products of the decade-old, escalating war, like the baby whose whole immediate family had been killed in a grenade attack. All of the children affected them but some, like that baby, really tugged at their heartstrings. The nurses took it in turns to feed and look after him while the Vietnamese community searched for and found someone in his extended family to care for him.
Other emergencies were the result of the day-to-day accidents that accompany ordinary life. One particularly horrifying incident involved a young woman whose head was scalped when her long hair was caught in the outboard motor of her family’s sampan. Some of the nurses cried when they first saw her and couldn’t imagine she would live. The girl’s scalp was gone right down to the bone in places but she survived and, over a period of several months, the surgeons grafted skin from her thighs and upper arms to cover her head in a patchwork of skin that eventually enabled her to wear a wig.
The nurses’ shifts started at seven-thirty in the morning and finished when they were done for the day, often quite late in the evening. Aside from helping out in the hospital and managing any surgical procedures for the local population, the Americans often brought in civilian patients from outlying areas for them to treat. The team never asked whether they were South Vietnamese or Viet Cong, and there was no way they could tell the difference, but as far as the nurses know, they only treated one Viet Cong youth. Susan remembers, ‘He was just a boy, really, and when he recovered
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