“The feeling
of turning
to ashes inside
the feeling
that if you could
say what is
Sur gical ampu tations per formed un der ex tremely diffi cult con di tions are like ly to be sub opti mal, mean ing man y of those am putated will re quire fur ther surge ry.
happening
it would come
out like a
stream of boiling
water that boils
for life.”
“Or one can identify
the meaning
of the words
one can only guess
the use of hissing
sounds it is absolute-
A numb er of sco ring syst ems have be en devise d to elim inate the subject ivity of the decis ion of whet her to am putate or salv age the limb and to hel p guide de cision-ma king based on object ive crite ria. How ever, the re is no con sensus in t he lit erature on the reli ability o f ea ch of th ese syst ems to pre dict function al outcomes and the nee d for second ary ampu tation in case s where salv age fails.
ly unbearable prison
officers
visits court-
yards seem like a movie
uncontrollable flashes
the construction of sentences
the grammar the syntax.”
“The feeling that
your head explodes
the feeling that
an explosion can
rip your head off
the feeling that
When the dis art icula tion is com plete, a ny bony prom inences or po tential sour ce of ul ceration should be rong eured or rasped smoo th. Th e w ound sh ould be irr igated co piously u sing a pulse d lava ge syst em be fore clo sure. It may be nec essary be cause of in fection to le ave the ampu tation sit e open an d return to the opera ting roo m for de layed clo sure.
your spinal cord is
compressing every-
thing in your brain
crumples the feeling
that your soul pisses
you out of your body.”
“You
stop
looking
stop
looking
at
anything
you
shut
your eyes
A cent er in the Syr ian cap ital pro duces pros theses from differ ent mater ials in cluding rem nants of we apons, plas tic man nequins and wa ter reserv oirs, and off er the m to phy sic ally dis able d vic tims of t he war.
so
as to
get
back
into
your
difference,
your
death.”
“No pertinent
fact has
been altered.
The drama
Ph antom p ain is de fine d as the pain in the miss ing port ion of th e limb, an d phant om sens ation defi ned as the persi sting pre sence of the mis sing lim b. Differ ent stud ies have re ported a w ide rang e of pre valence for this con dition, repor ted as oc curring in for ty-five to ei ghty-five per cent of peo ple with am putations.
of the situation
being so real
that no fiction
was necessary.”
— Oakland : 2025
David Buuck lives in Oakland, CA., from where he edits the journal and small press Tripwire (tripwirejournal.com). Books include Noise in the Face of (Roof, 2016), SITE CITE CITY (Futurepoem, 2015) An Army of Lovers, co-written with Juliana Spahr (City Lights, 2013), and The Riotous Outside (Commune Editions, 2018).