Sunday, December 28, 2014
He Never Really Understood
Sunday, November 30, 2014
البدوي والمطر
Tranquil
Saturday, November 29, 2014
Fixed and Dilated
This is almost the end of my fifth month of internship, I'm rotating in ER. We get a call that a patient in cardiac arrest is coming in by ambulance. We prep; gowns, masks, gloves donned, and stand waiting.
A gentleman is brought in on a stretcher, one of the paramedics is stood on the edge of the stretcher performing CPR while the others push. He's transferred onto the ER bed, and a nurse takes over. He's hooked onto a cardiac monitor, I here the word "asystole." I review the steps of CPR we were taught, with my eyes shifting to and fro between the monitor and the patient's chest. I hear the word "pulsless," and "fixed dilated pupils," then hear "CPR for 70 minutes," and I know logically that that's the end of it. I still keep my eyes on the monitor. There's a wave, but I know it's pulsless activity, but don't want to believe it. "That's it guys, announced time of death 22:20." I feel nothing.
The remaining half hour of the shift is the longest 30 minutes of my life. We ungown, the senior writes some notes, and we go back to the station. I stand while the rest of the doctors continue chatting and discussing normally, as if nothing has happened. I watch as they cover him up and take him away. I still feel nothing, but begin zoning out. My senior asks me to take a look at a new patient that had come in with chest pain, to ask him what was troubling him and to examine him. I've never been more robotic, I do what I'm told, but can't think. I've never left the ER that fast, I just couldn't stand being there anymore. How could everything just go on normally after what had just happened?
He wasn't from here. (Can I actually say "was"? Shouldn't it be "is"? I don't know! "Was" just doesn't feel right) I'm not sure he has family here. It's just, he passed away so far from home. I hope he does have family here, I'm not sure why, but I do.
I've never in my life seen someone dead. Standing there didn't feel real. I've always thought I'd be afraid in the presence of death, but I wasn't, I just felt numb. I had helped examine him, I checked his pupils; fixed and dilated, I now know what that means. I'm not sure I'm particularly thrilled about this new piece of info I've gained. I didn't flinch once, what's wrong with me? I voluntarily took the torch, opened his eyes with my own hand, and took a look. Shouldn't I have at least been afraid? Hesitant?
I'm really not sure what I'm meant to be doing or feeling right now. I know this is part of the career I signed up for. I know it'll be a lot worse if a patient dies in front of me, or even worse, on my watch. But for now, I just don't know.
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Sunday, November 23, 2014
"We wanted to give you space."
A sentence that cracks me up time after time, "I wanted to tell you, but." But what?! Seriously what?! What kept you so quiet for so long? How could you see so clearly that I was lost and didn't see that I couldn't see it for myself?
One of the great answers I get for this is, "We wanted to give you space." This draws a smile of disgust on my face each and every time.
I truly believe there are no boundaries between "real" friends. A real friend tells you what they think regardless of whether you'll like it or not, regardless of whether you want to hear it or not. They'll tell you at that time that you're screwing up, not after the storm has passed. Friends don't "give you space", they don't let you wander around lost. They don't suddenly turn up after you've gotten up on your feet and start giving you words of wisdom you don't need anymore, but needed badly back when you were falling.
Please don't give space no one ever asked for. Please don't tell someone, "I wanted to tell you, but." Saying you wanted to do something is one thing, and actually doing it is a whole something else. If you didn't have the guts to speak when it mattered, don't bother saying anything afterwards.
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Saturday, October 11, 2014
A Synchronous Laugh
Sunday, October 5, 2014
Once upon a time
Friday, October 3, 2014
Feeling bad
Saturday, September 13, 2014
Listen to Your Child
Saturday, September 6, 2014
I just write
Alone, amongst a hundered people.
Friday, August 1, 2014
حين تريد وحين أحتاج
لن أقبل (ولا أحتمل) أن تحضر حين تريد ولا تحضر حين لا تريد.
فإما أن تكن حاضرًا طوال الوقت، وإلا فلا تحضر أبدا.
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Wednesday, July 30, 2014
Problem is, it's real
Friday, June 27, 2014
حين يصبح المألوف غير مريح
Wednesday, June 18, 2014
Glimpses of a Person
It's difficult when you can no longer recognize someone, when you look at the face, but no longer understand how it's the same person. You see glimpses of your person for a mere split second, and then it dissolves as fast as it came, and you end up looking desperately for that familiar face you saw for just a moment.
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Those who have seen you
Those who have seen you cry, those who have witnessed your tears, have seen something so close, so deep, so sacred.
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أرجوك لا تقرر بالنيابة عني
Sunday, April 13, 2014
A Crying Lady
I once saw a lady with her face in her hands. When she lifted her head, she was crying. I stepped towards her, but then turned back.
If I were in her place I wouldn't want to explain to a stranger why I was crying. But I still feel bad that I walked away.
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