again involving Luis Ocaña, except this time Zoetemelk had to be taken to the hospital as he crashed heavily into a car left unattended at the finish of the Midi Libre in Valras-Plage, France. He cracked his skull and came close to dying. He returned the next season to win Paris–Nice again, and then caught meningitis. He never fully recovered and the head injury reduced his sense of taste. Nevertheless, he won 20 races that season, including Paris–Nice, the Tour of Holland and the Dwars door Lausanne and a stage of the Tour de France. He also came fourth in the 1975 Tour de France. During the that year's Tour he won stage 15 and finished strongly overall, placing behind only Thévenet, Merckx and Lucien Van Impe in a Tour where the next closest contenders were close to 20:00 or more behind the winner. In the 1976 Tour de France he won stage 9 up Alp d’Huez by :03 in a hard fought climb where he and Van Impe dropped all other riders and were alone crossing the finish. In stage 10 Zoetemelk once again won the stage, this time beating Van Impe and Thévenet by just one second, in the process coming within just seven seconds of the Yellow Jersey. On stage 14 however, Van Impe attacked and for all intents and purposes won the tour. Zoetemelk would win again on Stage 20 but he remained more than 4:00 behind Van Impe as every other rider was more than 12:00 back. In the 1977 Tour de France he would have the worst Tour placing of his career up to that point, which was partially because he was penalized ten minutes and had a stage win revoked. He still finished in the Top 10 overall. During the 1978 Tour de France he won stage 14 and going into the stage on Alp d'Huez Zoetemelk, Michel Pollentier and Tour debutant Bernard Hinault were separated from one another by only 0:18. At the end of the stage he led Hinault by +0:14 but was 2nd in the overall classification to Pollentier; however due to the Pollentier doping incident following the post-stage drug test, he took over the yellow jersey. He rode strongly and kept his narrow lead, which he would hold for several stages before losing it to Hinault on the final time trial. In 1979 he rode the Vuelta a España