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Paradise General: Riding the Surge at a Combat Hospital in Iraq [Hardcover]

Dr. Dave Hnida
5.0 out of 5 stars  See all reviews (1 customer review)
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Book Description

April 27 2010
IN 2004, AT THE AGE OF FORTY-EIGHT, DR. DAVE HNIDA, a family physician from Littleton, Colorado, volunteered to be deployed to Iraq and spent a tour of duty as a battalion surgeon with a combat unit. In 2007, he went back—this time as a trauma chief at one of the busiest Combat Support Hospitals (CSH) during the Surge. In an environment that was nothing less than a modern-day M*A*S*H, the doctors’ main objective was simple: Get ’em in, get ’em out. The only CSH staffed by reservists— who tended to be older, more-experienced doctors disdainful of authority—the 399th soon became a medevac destination of choice because of its high survival rate, an astounding 98 percent.

This was fast-food medicine at its best: working in a series of tents connected to the occasional run-down building, Dr. Hnida and his fellow doctors raced to keep the wounded alive until they could be airlifted out of Iraq for more extensive repairs. Here the Hippocratic Oath superseded that of the pledge to Uncle Sam; if you got the red-carpet helicopter ride, his team took care of you, no questions asked. On one stretcher there might be a critically injured American soldier while three feet away lay the insurgent, shot in the head, who planted the IED that inflicted those wounds.

But there was levity amid the chaos. On call round-the-clock with an unrelenting caseload, the doctors’ prescription for sanity included jokes, pranks, and misbehavior. Dr. Hnida’s deployment was filled with colorful characters and gifted surgeons, a diverse group who became trusted friends as together they dealt with the psychological toll of seeing the casualties of war firsthand. 

In a conflict with no easy answers and even less good news, Paradise General gives us something that we can all believe in—the story of an ordinary citizen turned volunteer soldier trying to make a difference. With honesty and candor, and an off-the-wall, self-deprecating humor that sustained him and his battle buddies through their darkest hours, Dr. Hnida delivers a devastating and inspiring account of his CSH tour and an unparalleled look at medical care during an unscripted war.


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“Unforgettable . . . In another era, Homer would be telling this tale. Dr. Hnida’s tale of sacrifice and hope is a crucial, firsthand chronicle of our time and likely to become a classic of war literature.” —Christopher McDougall, author of Born to Run

“A true-life M*A*S*H tale of doctors, wars and field hospitals.” —Bill Husted, The Denver Post

“Page-turning . . . a sobering account of combat injuries and the courageous medical corps who work against the odds to treat them.” —Laura Landro, The Wall Street Journal

“Hnida grabbed me by the throat on the first page. What sets it apart from other accounts is the intimate look at the complicated motivations that drive a hometown doctor to answer the call to serve his country.” —Lee Woodruff, co-author of In An Instant

“Wonderfully moving and frequently very funny . . . a perfect guide through the confounding, terrifying, and strangely exhilarating world inhabited by the U.S. military in Iraq.” —Greg Jaffe, military correspondent, The Washington Post

About the Author

Dr. Dave Hnida is a family physician and medical commentator. He has worked as a local and national correspondent for NBC and CBS, and has made appearances on the Today show and The Early Show. He lives with his family in Littleton, Colorado.

Customer Reviews

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Most helpful customer reviews
0 of 1 people found the following review helpful
5.0 out of 5 stars M*A*S*H* The Sequel Jun 5 2010
By B. Breen TOP 100 REVIEWER
Format:Hardcover
It's the easiest analogy in the world to compare this book to the cultural icon of M*A*S*H*. This book references the Book, Movie and Television Series M*A*S*H* several times while Dave Hnida recounts his experience as a reserve doctor at a combat hospital during the recent surge in Iraq. It should be qualified however, that this is more like the final seasons of M*A*S*H* when comedy began to give way to Hawkeye's maudlin self-reflection and questioning of the meaning of everything. Make no mistake, there is plenty of comedic relief throughout the book, but again and again the reality of war and the death and suffering is brought home.

Hnida opens his own personal life as well tying themes throughout his experiences in Iraq with earlier reflection on his relationship with his father, his connection to the Columbine tragedy where several of the students killed were patients of his in his family practice in Colorado, and the rape of his daughter in the course of her becoming the first woman to score points in a Division 1 college football game.

Hnida is an able writer and it's no mistake that in addition to his medical skills that he is a medical journalist and TV personality. Far from being just a narrative diary, Hnida brings his colleagues alive and brings to life the his real life Trapper John (or BJ Honeycut if you prefer) the army brass who will salute in a shower, the higher ups who don't take themselves so seriously and of course, the soul-less administrators who inevitably fall prey to the pranks that are their due.

As I read through this book I found myself wanting to criticize the parallels but I have to admit, the book it well enough written and acknowledges this element to where I was able to enter into the experience. Hnida avoids the temptation to make political and moral judgments throughout the work instead focusing primarily upon the humanity of the patients and the medical staff caught in a storyline nearly impossible to imagine for any who have not been there.

Hnida does a masterful job of bring his reader along and while the analogies to M*A*S*H* abound, the book pulls off its intended goal admirably and stands on its own.

5 stars.

bart breen
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Amazon.com: 4.7 out of 5 stars  62 reviews
20 of 20 people found the following review helpful
5.0 out of 5 stars Compelling and honest, a MUST READ!!! April 23 2010
By J. Giles - Published on Amazon.com
Format:Hardcover
Paradise General is a story about Dave Hnida's journey into combat medicine, a story of a man struggling to understand his own motivations for joining the Army in his late 40s, struggling to balance his need for family and their need for him with the world's need for him, and his need for the world. This tale is also an examination of the complex ways in which we attempt to make sense of and atone for our individual, familial, and collective pasts. But more than this, it is a portrait of devotion to family and country, a tale of commitment, and a testimony to the resilience of the human spirit in the face of tremendous obstacles.

Paradise General is highly informative, introspective, and conceptually rich, but it does not take itself too seriously. Although you will learn a lot about combat wounds and how they are treated on the ground, about the moral complexities of combat medicine under the Geneva Conventions, and about how doctors fit into (or do not fit into) the military chain of command, you will also learn about the rejuvenating power of humor, and about the value of some good old-fashioned humility and self-deprecation. One never gets the sense that Dr. Hnida pulls rank on his readers. Despite his decorations and professional degrees, Paradise General creates an image of Dr. Hnida as simply Dave, a dude you hang out with at the barbeque. I can attest to the authenticity of this characterization personally: Dr. Hnida's daughter was a senior in my Psychology of War class at the University of Colorado, and Dr. Hnida was gracious enough to visit our class for a lecture on treating combat trauma. He was much in person the way he appears in his book: intelligent, funny, approachable, down-to-earth, a touch irreverent ... emotionally present, highly contemplative, and a big systems thinker.

Paradise General is not for the feint of heart. After all, it is, at the end of the day, a story of war, and as such it is a story of sorrow and loss and fear, of blood and tissue, of rage and unrelenting grief. It will bring you into and through the fog of war, the doldrums of war, the adrenaline of war. Be warned, this book will make you feel things that are uncomfortable to feel, and it will make you take a good hard look at your moral assumptions. You will indeed, as others have written, vacillate between crying and laughing, sometimes on the same page.

This book is a tribute to the fallen, to their families, and to those who would try to save them. It is written with deep and tender awareness of the rawness of war as it reverberates through families and cultures. In an era in which "health care" is too often a politicized buzz word, this book is a refreshing reminder of a physician's most noble calling: the call to serve and to sustain life.

Paradise General reflects great credit on Dr. Hnida, the United States Army, the medical profession, and fathers everywhere.
15 of 15 people found the following review helpful
5.0 out of 5 stars Great read April 20 2010
By Isabelle - Published on Amazon.com
Format:Hardcover|Amazon Vine™ Review
I finished this book in one sitting. It never bored me and the diachotomy between the frantic race of treating injured soldiers from both sides, and the crazy things Hnida and his collegues would get up to to relieve the boredom and pressures of a war zone, rival the very best of M*A*S*H episodes. This kind of story, an every day man plucked from suburbia into the senselessness of war, and how that every day man
deals with it and reveals his heroism (though he doesn't see it that way)--well this kind of story just never gets old.
Entertaining and meaningful. Interesting pictures. Highly recommended.
12 of 12 people found the following review helpful
5.0 out of 5 stars general paradise April 21 2010
By Mister Gowers - Published on Amazon.com
Format:Hardcover
Dr. Dave Hnida tells an incredible and honest story about the intensity of being a doctor in Iraq. Dr. Hnida is a family practitioner who decided to join the army at 48 years old. He and his colleagues work tiring 12 hour shifts 7 days a week. He describes a certain camaraderie with the men and woman that worked beside him at the CSH. His story looks at both the good and bad that can happen on a military camp- from practical joking and saving lives to suicides and attempted rapes. Dr. Hnida is not a bumper-sticker patriot. He cares deeply about the soldiers fighting for our country and it shows in his writing. Everyone who has a loved one in the military should read this book. It might make you rest a little easier to know that they are in the hands of caring professionals like Dr. Hnida.
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