Doctor Johnson pulled over the truck and grabbed his kit as well. Joan told the doctor "He... He wants you to cut it off." The doctor had a bit of shock "Right now?". He asked.
"Right now." Joan said. "This place isn't sterile enough -- " The doctor start to explain but the looks that he sad weighted heavier than the risk of infection of a simpler kind.
"I'll help Joesf, you lock up the cadi" The doctor spoke as he reached to help joesf to the truck while placing a restrictive band around the forearm. " Joesf, you need to make water, void or whatever you want to call it now before I start because we are going to lock ourselves inside for at least 6 hours....maybe longer". The doctor looked up at the sky to gauge the time of day.
The two walked to the vehicle then into the back

The doctor suggested to void by the middle section of the vehicle and to say well within sight. Turning to the two ladies and tell them " we are going to be locked up in the cougar for a very long time and but the time that I get done we can't risk opening up till morning. Go to the bathroom...together and get anything that you need out of the Cadillac".
As everyone got things together the doctor made a field expedient bed to operate from and opened up boxes and started to lay things out. " I'm going to use the rest room now and will be back". The doctor leaves for a bit then returns to the vehicle.
"I need you two ladies to get settled in and then I'll need alot of help" the doctor explained " One is going to assist and other will watch over his respiration " The doctor asked the door in the back to be kept open so that he could wash his hands out the back.
" Joesf, I need you to lay down and relax, I'm going to do my best, ok?" The doctor waited for him to get settled in before his sedation. The Doctor make a I.V. insertion point, flushed the line and got a bag of D5W ready to hang. " I want you to count to 10, backward while I'm pushing this drug and relax ".
Joesf start to count out loud
"100, 99, 98, 97 --"
Using a 14 gauge needle the doctor administered his medication into the bag.
"Both of you ladies need to clean you hands really good for two minutes at least then stuck and lock the door, please" The Doctor asked.
As the ladies washed their hands his pt "Joesf" slipping into unconscious state. By the time that the two got back the doctor was intubating joesf and wanted to show how he wanted the ladies to assist during the surgery. The doctor wasn't kind during surgery and it wasn't pretty as joesf had coded twice during the procedure as the amputation was on going.
when it was all said and done Joesf was going to sleep a long time as well as everyone else in the hot box that sat to the side of the road. The doctor choose to sleep in the driver's seat and had the assistance of both women to strap in Joesf with three sets of straps in the supine potion. Blood was everywhere but joan also had a I.V. piggy back into her arm as she volunteered to give blood if need.
The doctor thought that she was very brave for this.