Because Cu Chi sat on the edge of the Hobo Woods, where all the fighting took place in 1967, her hospital handled mass casualties regularly and their operating room became the largest user of fresh blood in all of Vietnam Back in the United States, Sarah received her brother soldiers of Vietnam with their wounds and amputations, cared for them directly and saw how their physical wounds did not heal when their heads and hearts were deeply affected. She was awarded the Certificate of Achievement for exemplary service as head nurse of the orthopedic ward at Madigan Army Hospital in 1968, where she was also the assistant director of nursing on evening and night shift in 1970.