Board Thread:General Discussion/@comment-86.46.22.35-20130403153709/@comment-1.64.167.24-20130801141428

That's why I was saying Ishmael is more likely to be an actual person than not. The shot he gave Big Boss took a while to be effective, not that it didnt work at all. As to why he didnt seem to help him, I explained with Emma and EVA's play already, he doesn't have to take care of Big Boss each and every minute. In addition, the ambulance drive is perhaps even better prove.

The fact that Big Boss just woke up from the coma and the presence of Psycho Mantis only provide an opened door for Kojima to slip in some hallucination (e.g. the Volgin ghost), but it doesn't mean everything he saw is hallucination. Besides, Big Boss can see ghosts back in MGS3 (The Sorrow and Joy). Perhaps that Volgin ghost is one of a kind too... Anyway, it's just a tralier and Kojima can be misguiding us by sticking things in the wrong order.