Accidents

Completing my internal medicine training in the summer of 1962, I packed my car and, together with my wife and three young children, set out to find a place to practice internal medicine in a town with a good public school system.

While looking for a home from which to practice, I scrounged around for some work–police calls, house calls, calls from the ER–while my family lived on peanut butter and jelly sandwiches.

As I scan the numerous folders of my electronic medical record in-box, typically I open the “Outside Messages” folder with some trepidation. This folder contains messages from other hospitals detailing emergency room and specialist visits, hospitalizations, and test results concerning my patients.

When I was a sophomore in high school, I went with the band director’s son and wife to a weekend band clinic a couple of hours away from my South Carolina home. This was the 1950s, when bench seats in cars were common, so we all rode in the front seat. On the way home, Mrs. Mills suggested we stop in a town forty minutes from home to attend church—not an unexpected suggestion in that Bible Belt place and time.

As my parents aged, accidents became an integral part of their lives—and mine, as their caregiver. These accidents ranged from falling to losing bladder and bowel control. Each time something happened beyond my parents’ control, they lost a part of themselves—of their sense of independence and adulthood. Perhaps Jacques said it best in William Shakespeare’s Twelfth Night with the final lines of his “All the world’s a stage” soliloquy: “Last scene of all,/That ends this strange eventful history,/Is second childishness and mere oblivion.”

Dear Pulse readers,

When I was a college sophomore, my mother called me in tears to tell me that one of my Canadian cousins had died in a car accident. A bright, vivacious university student, Orianne had been dozing in the back seat of a Volkswagen beetle driven by a friend, who’d apparently lost control of the car. It swerved off the road and rolled over, killing her.

No one else in the car was injured.