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“bug out”

Five Days at Memorial

“Bug out” is Therese Mendez’s term for an abrupt retreat that leaves everything behind, potentially including people with less power or fewer prospects of rescue. In her account of the evacuation at Memorial Medical Center, the phrase gives a name to her fear that the hospital’s patients were being abandoned under the authority of a military-style order.

Meaning and Context

Mendez recalled seeing the term on television and associated it with a decision to retreat at once in the face of an enemy. The image was not merely of leaving a place: it carried the possibility that those unable to keep up, or considered less fortunate, would be left behind. Her single-word label condensed a sense of emergency into a morally charged description of withdrawal.

That interpretation grew from Mendez’s impression that Anna Pou had received orders from a higher authority and was acting under military orders. Pou had told her that doctors were struggling with the decision to medicate patients; Mendez also understood that martial law had been declared and that the military was making decisions as helicopters carried people out. These were the circumstances as Mendez understood them, not proof that the military had issued the plan she feared.

Use in the Narrative

Mendez’s allusion to Saigon makes “bug out” an image of retreat under pressure, with the danger that abandonment accompanies escape. The account places that fear at a consequential point: according to the investigators’ comparison of her testimony with Diane Robichaux’s, the alleged plan was put into action not while staff were still desperately awaiting rescue, but when evacuation was finally underway. The phrase therefore marks the gap between rescue as an apparent possibility and the fear that some patients might nonetheless be left behind.