I Need a Cigarette
“If I don’t get a cigarette right now, I’m going to punch someone,” he said. “Okay, I understand. One second.”
“If I don’t get a cigarette right now, I’m going to punch someone,” he said. “Okay, I understand. One second.”
To keep breathing does not mean to go at it alone or to put up a brave front even when it feels as if the world is collapsing. To keep breathing is to always push towards the goal even when it’s hard and even when it doesn’t feel worth because it will be in the end.
Soon, we were jolted to attention by an overhead announcement, “Attention, code blue. Six south. Attention. Code blue. Six south.”
I always thought the goal of medicine was to cure an illness. But, the memory of this little boy continues to remind me what it is like to see the eyes of someone without a future or hope.
His right leg jittered beneath his orange, prison-issued jumpsuit. The manacles across his wrists rattled with the chain connecting them to the cuffs around his ankles.
A half hour passed by before I heard the first trauma announcement overhead. The pager buzzed at the same time and somewhat startled me. I grabbed the on-call phone, pager and shears and quickly walked to the emergency department (ED).
I had just started my third year, and I had already witnessed six patients die. I had never been called a black cloud before this, but it immediately stuck and seemed fitting.
Through my patient’s same wants and needs, I saw my own thoughts, feelings, hopes, dreams, fears and my own desire to be liked, to be wanted, to be needed. I felt, for the first time in a very long time, a genuine human connection.
Good times have never passed as quickly as the three months, ten days and twelve hours
I have spent under Dr. ***’s service.
My mind kept returning to the patient I had encountered earlier that day. I experienced this subtle feeling that something important had happened. I became curious about the man and his story, but above all, I wondered what the most important part of that appointment had been.
“We have a drug seeker in two,” the nurse declared. My preceptors responded with a long sigh, and they rolled their eyes in unison. My pulse quickened.
Overhead, we hear the monotone hospital announcer’s voice through the intercom system: “CODE BLUE. First floor. Short-term cardiac care unit. Room…”