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URL: http://www.dailycamera.com/bdc/county_news/article/ 0,1713,BDC_
2423_1866804,00.html

Area surgeon aids troops

Boulder man operated on recently rescued POW in Germany

By Lisa Marshall, Camera Staff Writer
April 5, 2003

Friday morning: 57 dead; 16 missing; 7 captured.

The daily White House press briefings and fuzzy real-time TV reports fall far
short of conveying the brutality of war, says Boulder neurosurgeon Gene
Bolles.

Bolles spent Thursday hunched over an operating table at Germany's
Landstuhl Regional Medical Center, repairing the broken back of Army Pfc.
Jessica Lynch, who was rescued from an Iraqi hospital this week. The 19-
year-old soldier will require aggressive rehabilitation, Bolles said, but is
expected to recover well — one success story in a war full of tragedy.

"It really is disgustingly sanitized on television," said Bolles, who has spent
the last 16 months as chief of neurosurgery at Landstuhl, the destination
for the war's most wounded soldiers.

As of Friday, 281 patients had been brought to Landstuhl since Operation
Iraqi Freedom started, and plane-loads are arriving regularly.

"We have had a number of really horrific injuries now from the war. They
have lost arms, legs, hands, they have been burned, they have had
significant brain injuries and peripheral nerve damage. These are young
kids that are going to be, in some regards, changed for life. I don't feel
that people realize that."

Bolles, 66, had a private practice in Boulder for 32 years before taking the
job at Landstuhl. The U.S. military was short on neurosurgeons after Sept.
11, 2001 — having scaled down its medical staff in response to a shrinking
troop population in the '90s — and was looking for an experienced civilian
doctor willing to work as a contractor for a few years, said Lt. Colonel Bill
Monacci, consultant to the Army Surgeon General for neurosurgery.

Bolles, a self-described "pacifist," found his patriotic juices flowing in the
aftermath of the terrorist attacks, so he postponed his retirement and
took the job to help out with Operation Enduring Freedom, the war on
terrorism in Afghanistan.

"I was looking for any way to help out," said Bolles. "Not to fight a war
necessarily, but to help out."

He is one of only a handful of civilian doctors among the mostly military
staff at Landstuhl, the largest military hospital outside the United States.
Until this week, he was the only neurosurgeon, taking anyone with back,
neck, spine or head injuries.

While Monacci said he thinks the number of wounded has been relatively
low given the scope of the war, Bolles has handled an increasingly heavy
workload exceptionally well, he said.

"It is a tough situation. He probably thought it was going to be a bit of a
slow-down from his practice, but I imagine it is a little busier than he
planned for," Monacci said

Bolles said despite media images that may lead the public to believe
otherwise, he and the other doctors at Landstuhl have been busy for
months.

Before the war began, the hospital already had treated 300 U.S. soldiers
from Kuwait and surrounding areas, wounded in car accidents, windstorms
and during training exercises. A brutal sandstorm landed five soldiers on
Bolles' operating table. The wind blew a tent pole through the skull of one
soldier and toppled heavy equipment onto another, fracturing his spine,
he said.

Still affected by the carnage he saw as a division flight surgeon during the
Vietnam War, Bolles said he is particularly troubled by the injuries he has
seen coming from Operation Iraqi Freedom, a war he doesn't necessarily
support.

"I am opposed to any war," he said. "I am doing what I am doing because I
am a doctor, not because I have a political agenda."

He spent three hours in the operating room one morning last week
removing bullet fragments, blood and brain matter from two young soldiers
who each had been shot in the head. One will recover nicely, Bolles said;
the other will have permanent neurological damage.

Another of his patients, wounded in a grenade battle, died on the
operating table.

"These are young children; 18, 19, 20 with arms and legs blown off. That is
the reality," said Bolles.

Lt. Col. John Ogle, a Longmont emergency room doctor and flight surgeon
for the National Guard, agrees that the public is not always given an
accurate count of military injuries. But he says that is because an
accurate number is often hard to come by: What exactly constitutes
wounded?

"I would not call the war coverage sanitized," he said. "Everybody knows
that there are casualties over there, mostly Iraqi. What has not been
stressed enough is what it was like in the previous 12 years of Saddam's
regime."

As things heat up on the battlefield, Bolles' workload is getting heavier.

Soldiers arrive daily in C-141 transport planes after the eight-hour flight
from Iraq: 46 on Friday, 39 today, 38 on Sunday, 25 on Monday.

To brace for the flood of patients, the hospital has doubled its capacity to
322 beds and called up 600 medical reservists, including two more
neurosurgeons. Bolles admitted four new patients Friday and was preparing
to go back into the emergency room that night.

"The feeling here originally was, this is going to be over in a couple days,"
Bolles said.

His work is rewarding: He recently received a letter from a soldier who
suffered a severe brain injury in a bomb blast in Afghanistan a few months
ago. He'd recovered well and is getting married.

Working on the recently rescued Pfc. Lynch, who is not much older than
Bolles' own daughter, was particularly rewarding, yet troubling.

"Nineteen years old and she's out there carrying a big gun," he said.

His assignment with Landstuhl should expire within a year or two, but
Bolles has no plans to retire. Instead, he's looking into signing up with the
relief agency Doctors without Borders.

"I could feel just as needed if I were in Iraq taking care of the people
there who needed my services," he said.

Copyright 2003, The Daily Camera. All Rights Reserved.
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