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because the brain stem remained intact. Even small, relatively harmless-looking external bullet holes to the abdomen would reveal extensive internal damage to the bowel, bladder, stomach, liver, and spleen. It was a horrible, gruesome, and heart-wrenching sight. We received and treated all those who had become a casualty of this war: American fighting men, Iraqi soldiers, and the innocent Iraqi women and children who were at the wrong place at the wrong time. Their screams of excruciating pain filled the air, and the stench of destroyed flesh and death was revolting as