Hold Me
Wendy’s hoarse howling startled me. She was usually among the best-behaved, highest functioning residents in our group home for adults with mental challenges. But today I turned to see my colleague, Sandra, struggling to bring Wendy back to her room, while fending off her kicks and bites the whole way. I fought my own fear of getting hurt and ran to help.
What If
“Hold your breath,” the technician states.
Working Without a Net in Kenya
The thirteen-year-old boy sits in a battered ENT exam chair. Henry, my Kenyan colleague, hands me a blurry CT scan. “His neck mass has grown for two years,” Henry says. “We think it is a glomus vagale tumor. Do you agree?”
I hold the scan up to a window. The vascular mass fills the side of the boy’s neck, displacing his carotid artery. “That’s probably right,” I respond. “At home, we would get more studies. We would prepare for bleeding. This kind of surgery can be very dangerous, even fatal.”
The Care Piece
He was in his younger middle years, generally well. Before he had a wife and kids, he had been a competitive cyclist, an Olympic hopeful. He stayed active, ate thoughtfully, took no medications. But in the mornings, first his hands and within months other joints would swell and ache terribly, refusing to move. His primary doc sent him to a rheumatologist because, based on his symptoms, it appeared that an inflammatory process was to blame. The rheumatologist ran tests and then more tests; all were negative, but she agreed–this was rheumatoid arthritis.
He was started on a medication that made him feel better. Not fully better, but generally able to get up and move in the mornings without significant pain, which he certainly preferred, and his life went on.
Late-Night Calls
Life or Death
It was election night. November 8, 2016. As a southern, affluent, white male from a conservative household I leveled with her: “This election isn’t life or death.”
Universal Act of Emotion
After “All We Could”
Unalienable Right
25 Minutes
At least 3 people arriving. The ED is bustling, preparing for their arrival. Blade and Prolene stitch in my scrub pocket, I am ready. We are ready.
For a moment the ED almost seems silent.
The Turkeys
Lou arrived alone when she’d come for her blood pressure and itchy skin. Sharp, funny, she told me of her daughters, grown up and far away, and her life in the neighborhood as it changed around her. She had lived there for decades, long after her husband left, long after raising two on her own, long after the cottages around her were torn down for industrial sites. Neighbors were scarce and stray dogs plenty.
When her daughter arrived with her, I knew something had changed. Having driven sixty miles to bring her, Lou’s daughter was here to report on the increasing forgetfulness, the neglect of her garden. She was worried her mother was developing dementia and wanted her to move closer, where she could keep a better eye on her. Lou was having none of anyone else keeping an eye on her, though. We talked about memory and independence and safety and planning—at least as much as one can squeeze into a protracted twenty-minute visit. We all agreed to watch.