Board Thread:General Discussion/@comment-86.46.22.35-20130403153709/@comment-4913740-20130413133940

What if Ishamel is a Cipher spy who is meant to keep track of Big Boss after he awakes from his coma and follow his actions but following the car accident, Boss leaves with Ocelot and hence Ishmael will be after Boss for most of the story?

This is a huge assumption but I think Boss is being treated in a Patriot-controlled hospital. The Union Jack on the wall indicates it's in some sort of British territory and as we know, Zero is British. Just an assumption still, but it makes sense that they would keep him there after he fell into his coma.