European Stars and Stripes (Newspaper) - August 30, 1994, Darmstadt, Hesse                                Israeli medical team Sypora Bush Shire recuperate after surgery to repair injuries received when a grenade exploded in her hands. U tin stars and strips continued from Page 15 collapsing and dying in the streets Quot in the beginning the biggest Challenge was determining How Many diseases each person had. Many had a combination of cholera pneumonia malaria or meningitis. There is a special area set up for those patients. Heyman said doctors realized immediately they had to consult other physicians from their country and others for diagnoses because some of the disease combinations had never been documented before. As with any triage unit medical personnel have to make some difficult decisions on which lives they can try to save and which Are beyond Hope. Heyman said that knowing they cannot refer the patients to someone else makes the decisions harder. Quot this is the last Stop a he said. Quot we cannot Send them somewhere else. We just now found a place to Send our tuberculosis patients to isolate them from the rest. But this is the  to handle everyone else s  on More than one occasion doctors had to choose a Between using their precious supplies of blood or oxygen on a patient with Little Chance of recovery and denying that person treatment so that they could help Many. Sipora Bush Shire was one of those decisions. She had been rushed to the Hospital fully conscious after a grenade exploded in her hands. Doctors used More than one third of their blood Supply to save her life. Bush Shire lost both arms one leg and her 6-month-old fetus. Adler said it was her uterus that saved her because it protected her internal organs. Bush Shire s two children were killed in the explosion v Quot i did t know what it was Quot Bush Shire said of the grenade. Quot i found it in a House in Gorrita and thought maybe there was food or water inside Adler admitted he still wonders if they made the right decision. He wonders what kind of life Bush Shire will be Able to Lead in Zaire or. Rwanda. But his actions betray different feelings As he murmurs words of Comfort to her in French and insists someone translate. A a a Quot you re going to be of Quot he tells her. Quot we Are going to take you to a special Hospital where they will help you with a prosthesis and a wheelchair Quot. Triage decisions Are not always easy to live with. Heyman said it was hard on everyone when they had to turn off life support for another patient who they knew could not recover. They used up almost half of their oxygen Supply before they made their decision. Medical treatment alone is not enough Adler said. Patients also need compassion and emotional support. Many of the african workers seen around the Hospital Are volunteers. Some have relatives in the Hospital others just come to help. Quot these people Are really interested in helping each other Quot Adler said. Quot without them our Job would be much harder.�?�? k a a t x i i a i a it a a a a a s a it i 6. A israeli medic Alff Fox walks a youngster from the paediatrics Ward to a chair As he prepares to feed him. A s. A a 3 a medical team prepares to operate on a child in one of the tents that make up the Hospital. A doctors fight to save the leg of a Young girl who was struck by car. Tue Doyr August 30,1994 Thi stars and stripes 17