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US Doctors Save Burned Afghan Girl

By JASON STRAZIUSO and EVAN VUCCI
,
AP
posted: 137 DAYS 19 HOURS AGO
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BAGRAM AIR BASE, Afghanistan (June 24) -- The American military doctors watched in horror as the oxygen mask on the young Afghan girl's face started to melt.
The 8-year-old's skin was smoking from white phosphorus, a lethal chemical. Her hair was burned away. Her face, head, neck and arms were scorched yellow, pink and black.
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When the doctors tried to scrape away the dead tissue, flames leaped out.
More than 15 surgeries later, Razia was released Wednesday from the U.S. military hospital at Bagram. "I am fine, I want to go home," she quietly told hospital staff members who gathered to see her off.
Razia can smile again. She learned to say "ice cream" in English and play catch with nurses. But her skin will remain scarred, her hair will never grow back and the mystery behind her tragedy remains unsolved: Who fired the white phosphorus?
After months of care, her nurse, a mother of three girls back in the U.S., considers Razia her fourth daughter.
"You're just not even sure whether this child is going to make it or not," said Capt. Christine Collins. "And then seeing her actually walk for the first time, taking her outside for the first time ... it's one of those life-changing things that you'll never, ever forget."
Razia had just finished breakfast when U.S., French and Afghan forces appeared near her village March 14 in the Tagab Valley of Kapisa, north of Kabul. Abdul Aziz, a father of nine, told his children to get inside their mud-brick home.
But two shells ripped through the house. Fire, smoke and dust filled the room.
"The sound of the blast was very strong and I was almost unconscious. I couldn't think. My children were shouting at me: 'Wake up! You're burning!" Aziz said.
Flames engulfed Razia. Aziz dumped a bucket of water on her but the chemicals burned on. Two of Razia's sisters lay dead. Five other family members, including the mother, were seriously wounded.
Aziz took Razia to the Afghan soldiers near his home, but they could do nothing. A private Afghan vehicle took Aziz and his daughter to the nearby French base. Razia slipped in and out of consciousness as her father poured water on her face to keep her awake.
White phosphorus burns until it's gone. It can burn right down to the bone.
U.S and NATO troops use white phosphorus to illuminate targets, create smoke screens and destroy old bunkers, but say they don't use it as a weapon. While white phosphorus is not banned under international law, human rights groups denounce its use in populated areas. U.S. officials allege that militants have used white phosphorus in mortars or rockets at least 12 times in the last several years.
Aziz is convinced international forces fired the round that destroyed his home. French troops in green armored personnel carriers, U.S. troops in tan Humvees and Afghan soldiers gathered nearby before the attack, Aziz said. The Taliban in his region have only AK-47s, heavy machine guns and rocket-propelled grenades, he said.
A U.S. military spokeswoman with NATO's security force said military officials can't be certain whether it was their own round or an enemy round that hit Razia's house.
"Either scenario is possible, and equally regrettable," Maj. Jennifer Willis said. "One thing is certain: Razia will have the best care that we can give her."
Two U.S. officials told The Associated Press that the battle was primarily a French operation. They spoke on condition of anonymity because they were not authorized to release the nationality of the force involved.
In Paris, military spokesman Christophe Prazuck said French troops don't have white phosphorus bombs but do have rounds to create smoke screens or illuminate targets. He could not immediately say whether such devices were used in the March 14 battle.
A U.S. medevac helicopter stopped at the French base to pick up Razia. Medic Sgt. Stephen Park looked in a waiting ambulance and saw the girl burned "from head to waist."
"And the first thing I said to them was, 'Is she still alive?'" Park said.
A father himself, the 33-year-old from Reno, Nev., picked up the girl and told his pilots to fly at top speed. They arrived at Bagram's SSG Heath N. Craig Joint Theater Hospital 20 minutes later, only a couple of hours after the battle.
"It was intense, very emotional," said Park. "When we got (to Bagram) I think even all the ER staff and all the doctors and nurses didn't think she was going to make it."
Victims with burns covering more than 50 percent of their bodies don't survive. Razia had burns on 40 to 45 percent of her body. Capt. Autumn Richards, a pediatrician from Fort Bliss, Texas, who first saw Razia in the operating room, didn't think the girl would live. White powder covered her skin, and flames shot out from her body.
"It was a very surprising thing to us, and very scary," said Richards. "I do remember trying to keep the oxygen off her, because of course that's a flammable gas, and we all realized after the fact that it was a very dangerous situation."
Capt. Collins served as Razia's primary nurse during the first weeks of care. Razia, who was hooked up to a feeding tube, wouldn't respond to the nurses or doctors even after a week in the hospital. Collins used her experience as a mother to reach out. Nurses carefully lifted Razia out of bed, and Collins rocked her for an hour.
"After that she was a completely different child," she said, her voice cracking. "She smiled for the first time. She was looking at her father and started talking to her father a lot more. And at that point I knew we would have this bond that would probably last a lifetime with her," Collins said.
Every day Collins had a goal: Get Razia out of bed. Sit her in a chair. Create a moment of normalcy. A month into Razia's recovery, Collins decided it was time for her to walk. The first day she took three steps, an effort that exhausted her. Within weeks she could walk to the hospital kitchen. Ten weeks after being injured, she could run.
In the moments of pain, Collins rocked Razia, sang to her, and wiped away the girl's tears.
"It was very intense, a labor of love, in working with her. It was an absolute pleasure and honor," said Collins, who is stationed at Nellis Air Force Base outside Las Vegas.
The American team has tried to help Razia feel normal. Nurses painted her fingernails red, a splash of color next to scarred skin. A friend in the U.S. sent a black wig, which Razia wore with a wide smile.
Razia still appears shy, and is reluctant to answer questions. Her nurse says she has her good days and bad days.
But on a recent sunny day, Razia led nurse 1st Lt. Michelle Smith to the cafeteria, where she loaded kiwis, bananas, a Gatorade shake and an ice cream bar into her wheelchair. Doctors and nurses gave the tiny patient high fives and smiles.
Doctors expect Razia to recover — barring any serious infections — but the scars will remain. The skin on her arms, legs, chest and face are a scaly red. Most of her head is scarred red scalp. Much of her left ear is burned off.
The staff quietly worries that Razia may never have a normal life in Afghanistan, where women in the countryside are mostly defined by the marriage they enter.
"Burns are horrific. They're so disfiguring, and when you put those burns on a child you just wonder what their lives are going to be like," said 1st Lt. Gary Webb, an Air Force nurse stationed in Colorado Springs. "It just really is heartbreaking. You just don't know what's going to happen."
At the hospital, Razia's father overheard a police officer tell another official: "No one will marry her."
"I was so angry I wanted to run after him and punch him," Aziz said. "Instead of saying something good, they only wanted to say something negative. I hadn't even thought of (her marriage situation) before."
When Razia is released from the hospital, she won't find her old home. It was destroyed by the rounds that disfigured her body. Her wounded relatives have recovered but show signs of post-traumatic stress disorder.
Her father once ran a vegetable shop, but he has no more money. He is thankful to the U.S. team for the extraordinary medical care but remains laden with worry.
His family's future — and Razia's — is uncertain.
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Photos From Afghanistan
Afghan villager watch a US Marine stand guard in Helmand province on July 23, 2009. US regional envoy Richard Holbrooke arrived in Afghanistan on July 23 and headed to southern Helmand province, where recently deployed US Marines are battling Taliban insurgents, a local official said. US President Barack Obama's troubleshooter for Afghanistan and Pakistan travelled from Islamabad, where government officials had expressed concern that a fresh offensive in the Afghan south would push rebels over the border. AFP PHOTO/Abdul Malek (Photo credit should read ABDUL MALEK/AFP/Getty Images)
AFP/Getty Images
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Copyright 2009 The Associated Press. The information contained in the AP news report may not be published, broadcast, rewritten or otherwise distributed without the prior written authority of The Associated Press. Active hyperlinks have been inserted by AOL.
2009-06-23 15:45:36

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Chinacat123

05:50 PMJul 07 2009

USEEKTRUTH2,Unfortunately anger puts blinders on which causes some to misread what others say. If you finished reading my post, I agreed with you. I said it was not up to me, but a higher power and that we should not question. But that was something I had to come to an understanding with. I doubt if you have ever stepped foot in a burn unit and spent day and night caring for these people, saving lives or helping someone die with dignity. Your words and judgements speak more about you and your character because I could never even imagine the evil thoughts which came from you.My life has always been dedicated to healing, advocating, deeply caring for and protecting those I have the honor to care for. What have you spent your life doing besides critisizing those who do instead of talk?

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BILLBAMAUA

10:15 PMJun 30 2009

Those on this board who are complaining and laying blame, how much have you helped or donated to this family? Has anyone started a fund to assist this child or her family?To criticize the US or NATO is wrong, what if the USA had not stepped up to the plate in WWII? How many more innocent Jews would have died at the hands of the Nazis? For those who have never really looked at the crimes Germany committed against the Jews in WWII should really research it. It was unimaginable. I am not a Jew, I am a Christian, but no one no matter what race, color, or religion should have to suffer as the Jews did during WWII.. The USA has helped many countries who have suffered from ethnic cleansing as the Jews did Iraq, Afghanistan, Palestine, Bosnia Croatia, and many others. Yes Sadam Hussein and his lynch men were guilty of torturing innocent women, men, and children, and killing thousands.No matter what anyone says the USA has done a lot of good for many countries who have a lot of u...

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(1)

BILLBAMAUA

10:11 PMJun 30 2009

This is very sad, and bothers me a great deal. I am retired Army, and to see children injured like this really hurts. The thing I don't see and understand I why the US, NATO, and the French Government are not helping this family with a home and food.White phosphorus is also used to shoot down planes and destroy vehicles by causing the fuel tanks to explode. Anyone could have used this round, Taliban or anybody.This girl should be given free reconstructive surgery to the maximum, and her family should be given a home and food to help them recover. If it is determined that this was from friendly fire, the family should be compensated for the loss of the children who died. Money cannot replace a loved one, but it can help this family recover from such a terrible situation.Those on this board who are complaining and laying blame, how much have you helped or donated to this family? Has anyone started a fund to assist this child or her family?To criticize the US or NATO...

AVG RATING:
(1)

KORNEGAY003

09:06 PMJun 30 2009

Hey now that osama is prez, that would make it HIS fault! No wait, The muslims won't blame one of their own.....

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(4)

bluebenedict

06:15 PMJun 29 2009

WolfTung4u: you think your a know it all now since you know everything tell us, tell us all the info we all need to know seriously, my mommy know im playing with the computer??? is that suppose to be insulting and stupid people have the nerve to like that...listen fool how about you not worry about what i post and worry about yourself if you dont like my comment bite it no one told u to even read my comment so before you think you want "insult" me think again idiot because you sound just like a 15 yr old posting that to me, so does your mommy know your playing with the computer again???? dumbass...

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(1)

PPSWG

05:34 PMJun 29 2009

J1plus B1---NOW YOU TALK ABOUT AN IDIOT, AND CALL THEIS PERSON WITH A SOUL ANTI-AMERICAN, YOU SIR ARE UN-AMERICAN: OUT CULTURE WAS FORMULATED WITH A HEART AND SOUL, THE PHONIES THAT USE RELIGION AND FAKE PATROITISM ARE SO FULL OF BULL SHIT, THEY MAKE ME WANT TO PUKE. NATIONALISM AND RELIGION ARE THE TWO MOST DANGEROUS WORDS IN ANY LANGUAGE, THEY GIVE YOU PERMISSION TO BEND ANY LAW OF MAN OR GOD AND FEEL SELF-RIGIOUS. WHEN ALL YOU ARE IS A COWARD, WITH A BIG MOUTH.

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(2)

J1 Plus B1

04:38 PMJun 29 2009

USEEKTRUTH2, PUT A GUN IN YOUR MOUTH, AND PULL THE TRIGGER. ITS UNAMERICANS LIKE YOU THAT MAKE ME SICK. THIERS TO MANY ******** LIKE YOU. YOU WON'T BE MISSED. DO IT !!!!!!

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(3)

Coreenfydn

04:24 PMJun 29 2009

HOW MANY OTHER BABIES & CHILDREN HAVE U.S. BOMBS KILLED IN AFGANISTAN, IRAQ AND PAKISTAN. DON,T BE SO QUICK TO PAT THE U.XS. BACK OVER ONE CHILD. THE U.S. HAS KILLED THOUSANDS OF MIDDLE EASTERN KIDS WITH ITS LETHEL WEAPONS. THE U.S. HAS KILLED HUNDREDS OF PALESTINIAN CHILDREN VIA ITS PROXY STATE, ISREAL. THE U.S. HAS THE BLOOD OF MANY CHILDREN AND BABIES ON ITS HANDS!!!

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(5)

PPSWG

04:21 PMJun 29 2009

DON'T BE MAD AT BUSH, HE IS AN IDIOT, AND THE BRILLIANT AMERICAN PEOPLE ELECTED HIM TWICE, I KNEW HE AND CHENNEY WERE OIL BUSINESS MEN; I HAVE TO ADMIT I WAS WRONG, THEY ARE JUST OIL MEN YOU DON'T HAVE TO BE THAT SMART TO GET RICH IN THE OIL BUSINESS, YOU HAVE ABSOLUTE POWER. BUSH MAY HAVE GRATUATED FROM YALE, I AM SURE HIS FAMILY OF 3 GENERATIONS HAD NOTHING TO DO WITH IT. IF YOU LISTEN TO HIM TALK EVEN DEDUCTING THE TEXAS TWANG HE IS AN IDIOT. I HAVE TO GIVE THIS ADMINISTRATION CREDIT, I KNEW AFTER THEY GOT US INTO DEBT TO 10.28 TRILLION, I NEVER BELIEVED HE COULD BANKRUP THE WORLD, IN SUCH A SHORT TIME. NOW YOU IDIOTS THAT STILL THINK THE REPUBLICANS ARE A FINANCIALLY GOOD INVESTMENT FOR THE UNITED STATES; I HAVE SWAMP LAND IN FLORIDA FOR SALE.

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(2)

Ameenmann

04:19 PMJun 29 2009

When you read things like these we may be reminded of thinkers like Machiavelli, Hobbes, and who else handed justification for governments to disregard their own people in seeking to destroy other people, folks. We might think about military prudence, and that collaterals were always there, but became regular when warfare has been industrialized.Seeing the struggle of those physicians in front of me I was ringing with tears, and that because our terms and justifications do not hold anymore before one truth: CHILDREN ARE ONE PEOPLE, worldwide... and our deeds should never have them suffer from them. We can, and we shall reconsider avoiding it, still when it demands much more discipline, and much more care towards our ACCOUNTABILITY in front of mankind's highest judgmental frame: GOD.God clearly rejects any relativation with His code. We cannot single out America for those things, but YES, we have to apologize for mankind's wrong. And Nuremberg files proof anyone of us is responsible.

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The American military doctors watched in horror as the oxygen mask on the young Afghan girl\'s face started to melt.