RED

At code RED the staff ran the halls, offering reassurance to patients and closing doors. I asked a nurse what further actions we should take should we see actual smoke. Her ready answer was, “If I see flames, I’m running out and saving myself.” I at first rejected her advice- confident that I would stay behind and help patients to escape incineration. Then I imagined myself struggling to help my patient (on his one good leg) down the 10 flights of stairs. At this point any altruistic impulse was replaced by an instinct for self-preservation. I was surprised at how quickly my supposedly “kind" heart turned to lead...

sight

What would I give
to enter into that torturous passageway?
anything
to comprehend that map of faint blue lines?
anything
to spare pain
to better life


yet I fail miserably.
I am not sure who is more blind- myself or my patient with glaucoma.

"patient is no longer a candidate for lung transplant"

a cruel euphemism for "we are sending you home to die"

Again he faces death as he did in Vietnam-
but these wounds are surgically incised,
these bruises from heparin,
the choking off of air from the build up of scar tissue within and the heavy hand of bureaucracy

first clinical

Today a nurse said to me, “You’re so sweet now, but I’ll give you 10 years and then we’ll see.”

Will the hospital will change me? With care limited by time/$ resources/endurance, how realistic is it to expect to provide care that feels thoughtful, unhurried and reassuring to each patient?

What does that perfect melding of efficiency and empathy look like?

Situations in which I feel helpless:

Packing a deep wound while the patient writhes in pain
Wrapping a body- forcing the jaw to close
Jabbing a needle into a living arm- deliberately inflicting pain

I keep thinking about the distance between life and death. It does not seem as concrete as it once did.

First wound dressing

There is something beautiful about a wound.

A crimson tenderness
packed with fine white gauze


Beneath the bandage I imagine that the edges meet

Water

The day belongs to the shovel- to pound rocks into cement, dig trenches.
Portions of tortillas and beans are good with jalapenos.
Americanas guzzle more water than cows and do not know how to steer wheel barrels!
They leave their water bottles on the bench, like so much trash
I uncap each bottle and capture each drop
in American water there is no metallic taste
I am very happy.

-written from perspective of young girl at orphanage, Tijuana 2004