On Rounds
Because I could not stop for death, / He kindly asked I pause. / My arms were full of sterile wraps, / Scissors, tape, and gauze.
Because I could not stop for death, / He kindly asked I pause. / My arms were full of sterile wraps, / Scissors, tape, and gauze.
Like an early Sunday morning in New York City or a football stadium the night before a game, it is a hospital on a holiday weekend. This is my first experience of how quickly peace can burst into bedlam in medicine.
Soon, we were jolted to attention by an overhead announcement, “Attention, code blue. Six south. Attention. Code blue. Six south.”
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.
Overhead, we hear the monotone hospital announcer’s voice through the intercom system: “CODE BLUE. First floor. Short-term cardiac care unit. Room…”
“Are you okay, sweetie?” asks the intern as we start to ascend. She is completely unconscious, looking into nothingness. I start to feel the adrenaline. “I don’t think she’s okay,” remarks the intern.
I was called to a code the other day. Now I should probably clarify: as a medical student, I don’t actually do anything (unless they really need people for compressions). In fact, I wasn’t even in the room.
Dan and I mimicked ducklings as we followed our senior resident, Tassia, single file down the stairs on our way back to the resident room. As we neared the bottom, we crossed paths with another medicine resident leading two medical students playing the same roles as Dan and I.
Midway through my internal medicine clerkship rotation, I was finally starting to feel like I had the hang of things. I was warned of the insurmountable amount of knowledge we would need to pick up, the tiring nights on call, and the constant uncertainty of our actions. But I was also told that it would be the first time I would feel like a doctor.
I had experienced codes before. Prior to entering medical school, I had worked as an emergency room scribe, charting patient encounters as they unfolded. I considered myself familiar with a code’s whirlwind of action, always one step away from the true pandemonium. After all, I had stood on its borders, plucking shouted orders and silent actions from the maelstrom, weaving them into a coherent, documented clinical picture. Naïve, and all too eager to count at …
In 1984, in the midst of fleeing the Soviet invasion of Afghanistan, a young girl agreed to pose for a photo. In her short life, she had survived the carpet bombings that claimed the lives of her parents, trekked through mountains to escape her war-torn home, and struggled to adjust to life amongst a sea of other refugees — but she had never been photographed. Restricted by her religion from smiling at a male photographer, …
The usual morning solitude of the small rural Kansas hospital was shattered with the overhead announcement no one wants to hear. Code Blue. Stillness turned to ordered chaos. The room was quickly prepared for the impending arrival of the ambulance. We gathered as much information about the patient as possible. Nineteen years old. Overdose. Found unresponsive. Before we had time to assemble these disordered pieces of the puzzle, he had arrived. The entire staff responded …