I promised at the beginning that I would keep this family friendly. That will remain the case, and I have purposely kept things as l light as possible, and that shall remain the case.
Let’s face some hard facts, though. What we do is ugly and often tragic. How many out there really know what we do? Do they understand why we wake up to phantom pages, in my case even driving to the station? Raise your hand if you’ve done that one. Who understands why we end up curled up on the floor or have smells or sights that bring back the uglies?
We all have our stories and I make an honest effort to keep it as such. But this is for the families of those we left behind. It is also for those that have been down on us as a profession.
Let’s put a face on our job. Not a badge, not a helmet, not the sexy men and women on the calendar (Mr. July here). But a real human face.
When asked how and why I kept doing this job, these are a few of the reasons. I can see through the ugly and the pain and see the beauty and dignity.
What started out as a beautiful day in the summer remained so, weather wise, No so for the fine citizens of our fair burg. At noon we ran a fatal choking. 22 year old female. Just after getting the paperwork done, we get called to a rollover MVA ,unknown number of patients. The scene was apocalyptic. It was as if you had taken a bunch of nice people and nice cars, put them in some cartoonish blender, an ACME, like Mr. Coyote would use for that infernal bird, then stuffed it all in some huge circus cannon and blew it out over a few hundred square yards. Cars, people, parts of cars, parts of people. Not unknown patients. 9 patients. We lost 4. Not a great day.
And as is my right to do, I shall go off for a minute. Like I said, get yer own blog and you can go off all you like. My ex-wife was an ER nurse. I worked closely with all ER personnel shoulder to shoulder, and then as a medical officer, all the other interaction. I have the utmost respect for them and the job they do. But here is the thing. When I would deliver a patient to the ER, they got a patient that was stable, splinted if necessary, airway if necessary, bleeding controlled, full c-spine, vitals, history, MOI, IV, etc. It is a whole other world to see this in situ. I have always and will always, encourage, all ED personnel to spend as many hours in the field as possible. Not better, not a competition, just an eye opener.
We made it through the night, mostly. At 0630 a call came in. MVA, multiple vehicles, unknown patients. We roll up and find a car that had been t-boned by some old heavy metal, had lifted off the ground and spun through the air, landing upright on all four tires, a conservative 150’ away, in the middle of a new crop. On arrival, we found two 17 year old female patients. They looked like they had just been knocked 150’. Car was destroyed, extrication gear had to be deployed, but had to be hauled out. No time. Doors were ripped off by hinges, bodily. I ended up leaning through the front missing windscreen and holding an airway open and providing c-spine protection as my partner did a surgical airway on her. We got the tube in and got her and her friend loaded into the helos for trans. On RTB, I made a call to the U. She of course could tell us nothing, due to HIPA, even though I was an officer and known to her. Sad. She died on the table. 17 years old, whole life ahead of her, and in a split second, gone.
I mentioned beauty out of pain. In this little girl’s last moments, she was not alone. She did not die in a cold cocoon of twisted steel and plastic. She died in the hands and the care or real caring, real people. Not cold, uncaring professionals. She died in the hands of humans with warmth and compassion.
Beauty from pain.
I will only bore you with one more. A 6 year old that died at the hands of those in whom his delicate life had been trusted. In the worst way. My patient. My call. My little boy. He died. Later, a good friend told me of the kindness that happened to him when he had his first son. A nice woman came in and gave him a blanket. It was given on the anniversary of her grandsons’ death. We’re standing in the kitchen having a beer and we both start getting chills. More questions. More confirmation. My Godson received the blanket made in honor of the child that was my patient.
Beauty from pain.
We all have our own stories. But each is a side of humanity. Each of our careers, ours. Our lives? Ours. We hurt. We live. We love. We cry. We are the faces that reach out to take your hand as it gropes for help in the darkness. We are human. These things we choose. These things we do. This is our choice so that others may live.
canis ignis
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