On Call in Hell
By Pat Wingert and Evan Thomas
Newsweek
March 20, 2006 issue - Then I heard the voice of the Lord saying, "Whom shall I send? And who will go for us?" And I said, "Here I am. Send me!" —Isaiah 7:8
Richard Jadick was bored. The Navy doctor was shuffling paper while Marines were heading out to Iraq. Once, many years before, Jadick had been a Marine officer, but he had missed the 1991 gulf war, stuck behind a recruiter's desk. Now he was looking forward to leading a comfortable life as what he called a "gentleman urologist." Jadick, with a Navy rank of lieutenant commander, was 38—too old, really, to be a combat surgeon.
But then a medical committee searching for help came knocking on his door. Because of an acute doctor shortage, they were having trouble finding a junior-grade Navy doctor to go with the First Battalion, Eighth Marine Regiment (the "1/8"), to Iraq. Jadick at the time was one of the senior medical officers at Camp Lejeune, N.C. "Who could we send?" they asked. Jadick thought for a moment. "Well," he said, "I could go."
His friends told him he was crazy, and his wife, a pediatrician nine months pregnant with their first child, was none too happy. But in the summer of 2004, five days after the birth of his child, Commander Jadick shipped out for Iraq. On the plane, he sat behind a gunnery staff sergeant named Ryan P. Shane. A 250-pound weight lifter, the massive Shane turned in his seat to look at Jadick. Slowly taking the measure of the 5-foot-10, 200-pound Jadick, the gunnery sergeant said, "So you're our new surgeon. That's one job I wouldn't want to have with the place where we're going." That night Jadick e-mailed his wife, "What have I gotten myself into?"
The place they were going was Fallujah. In Sunni territory west of Baghdad, the city seethed with insurgents. Jihadists had strung up the burned bodies of American contractors in the spring of 2004, and chaos had reigned ever since. By November, the United States was tired of waiting for the enemy to give up or clear out. "Over the past five months, [we] have been attacked by a faceless enemy. But the enemy has got a face. He's called Satan. He lives in Fallujah. And we're going to destroy him," said Marine Lt. Col. Gary Brandl on the eve of the attack. Jadick's regiment, the 1/8, was ordered to take what was, in effect, the Main Street of the city. For Jadick, who speaks in a gentle, matter-of-fact voice, occasionally strained by memories of the men he saved and lost, it was to be a journey to the other side of hell.
The night before the assault, Jadick hopped into a command Humvee taking a reconnaissance mission from the headquarters base outside the city. He wanted to see what he was up against. In treating traumatic injuries, there is something known as the golden hour. A badly injured person who gets to the hospital within an hour is much more likely to be saved. But Jadick knew that in combat the "golden hour" doesn't exist. Left unaided, said Jadick, the wounded "could die in 15 minutes, and there are some things that could kill them in six minutes. If they had an arterial bleed, it could be three minutes."
Jadick knew that helicopter evacuations were out of the question: there was too great a risk the choppers would get shot down. Casualties would have to be driven out of the city. It took Jadick 45 minutes to drive from the base hospital, where he would normally be stationed, to the city. Not close enough. Jadick wanted to push closer to the action.
CONTINUED
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