{"id":170,"date":"2021-02-18T21:57:08","date_gmt":"2021-02-18T20:57:08","guid":{"rendered":"http:\/\/yetunde-siemers.com\/blog\/?p=170"},"modified":"2021-04-19T17:37:46","modified_gmt":"2021-04-19T15:37:46","slug":"it-is-done","status":"publish","type":"post","link":"https:\/\/yetunde-siemers.com\/blog\/medical\/170\/","title":{"rendered":"It is done"},"content":{"rendered":"<p>&#8220;Raise your hands up&#8221;, I say.<br \/>\nShe obeys while moving her fingers several times<br \/>\nagainst her thumbs in loose fists.<br \/>\n&#8220;Does it hurt?&#8221;<br \/>\n&#8220;No, only my neck hurts&#8230;and I can\u2019t move my fingers&#8221;, she says.<br \/>\n&#8220;What happened?&#8221;, she asks.<\/p>\n<p>I think she has had a concussion. Paramedics just brought her to me in the ER<br \/>\nand she has been asking us the same question every couple of minutes.<br \/>\n\u201cWhat happened?\u201d Followed by the words, \u201cI can\u2019t move my fingers\u201d.<\/p>\n<p>Her scalp isn\u2019t bleeding. There\u2019s a bump where her neck hurts.<br \/>\nHer ribs seem fine. &#8220;But I cannot move my fingers&#8221;, she says again.<\/p>\n<p>&#8220;Yes, you can. You\u2019re doing so right now. Can you touch your bellybutton?&#8221;, I ask.<br \/>\nShe moves her arm towards her stomach and then hovers hesitantly<br \/>\nhalfway between breast and belly button.<\/p>\n<p>&#8220;It must be here\u201d, she says. \u201cBut I cannot move my fingers.\u201d<br \/>\nI touch her bellybutton. &#8220;It\u2019s here, can you feel my hand?&#8221;<br \/>\n&#8220;No.&#8221;<br \/>\nI touch the arc of her ribs, &#8220;Can you feel this?&#8221;.<br \/>\n&#8220;A little.&#8221;<br \/>\nI touch her just below the collarbone, &#8220;Can you feel this?&#8221;<br \/>\n&#8220;Yes.&#8221;<br \/>\n\u201cBut please, I cannot feel my legs\u201d, she says.<\/p>\n<p>When you\u2019ve worked in a hospital a while,<br \/>\nyou learn that there is a nurse for every situation.<br \/>\nToday, I have the perfect one.<br \/>\nShe senses the dread rising in me, whips around,<br \/>\nrummages through a drawer and hands me a reflex hammer.<br \/>\n&#8220;Use this&#8221;, she says. &#8220;Here for sharp, here for blunt.&#8221;<\/p>\n<p>I stop my rioting thoughts in their tracks by listening attentively.<br \/>\nMy brain zones in on her crisp and clear voice,<br \/>\neverything around her is a hazy copy of the scene,<br \/>\nand somewhere in my distant subconscious,<br \/>\nI can feel a part of me shutting down.<br \/>\nI am now on automaton as I proceed to test the patient with the hammer.<\/p>\n<p>&#8220;Do you feel this?&#8221;<br \/>\n&#8220;Yes.&#8221;<br \/>\n&#8220;Do you feel this?&#8221;<br \/>\n&#8220;No.&#8221;<br \/>\n&#8220;Do you feel this?&#8221;<br \/>\n&#8220;A little.&#8221;<br \/>\n&#8220;Can you tell me if it\u2019s sharp or blunt?&#8221;<br \/>\n&#8220;I can only feel a little&#8230;no, I can\u2019t feel anything.&#8221;<\/p>\n<p>Now I am using the hammer on her stomach. Now on her thighs.<br \/>\nI am hitting a little harder.<\/p>\n<p>&#8220;Do you not feel anything? I\u2019m hitting you!&#8221;<\/p>\n<p>I am hammering on her knees now, in my mind there is a screaming disbelief.<\/p>\n<p>\u201cNo&#8230;no\u2026\u201d she says, echoing the words in my mind.<br \/>\n\u201cPlease\u201d, she says, \u201cI can\u2019t feel my legs\u2026 Oh God!\u201d<\/p>\n<p>I look across my patient and fall into the depths of the nurses\u2019 eyes,<br \/>\nand all the answers to my fumbling mind\u2019s questions are reflected in there.<br \/>\nI grab unto the cot railing and wait for my dizzy spell to pass.<\/p>\n<p>The rest happens in a blur: call neurologist; speak with patient; inject medication; organise transport to neurosurgery\u2026<\/p>\n<p>In the morning, I report the case to my attending physician<br \/>\nas he pulls up the CT scans.<\/p>\n<p>\u201cThat\u2019s it\u201d, he says.<br \/>\n&#8220;What do you mean?&#8221;<br \/>\n\u201cThat\u2019s it. It\u2019s done.\u201d<br \/>\nAnd then, because it\u2019s clear that I don\u2019t understand.<br \/>\n\u201cThe damage cannot be undone\u201d, he says.<\/p>\n<p>I back up against the wall and slide down into a squat.<br \/>\nThe scene of my conversation with her daughter is now replaying in my mind.<br \/>\nI am asking her what she already knows.<br \/>\nThen I\u2019m telling her what we found on the CT scans.<br \/>\nAnd I am telling her that we are arranging to transport her mother<br \/>\nto neurosurgery for an emergency procedure.<\/p>\n<p>And I am telling her, quite clearly, that even though there will be an operation,<br \/>\nshe should brace herself for the fact that: this is it.<\/p>\n<p>And I know from the dawning clarity on her face and her sudden tears<br \/>\nthat she understands what I am saying.<br \/>\nThat she knows, without really fathoming all the many different facets of sorrow<br \/>\nthat will come with this information,<br \/>\nthat this is final.<\/p>\n<p>That her mother is now paralysed from the breast down.<\/p>\n<p>She knows this because I am telling this to her and she believes me.<\/p>\n<p>But then I see myself speaking to her, and I am suddenly painfully aware that,<br \/>\neven though I am telling her what she needs to know,<br \/>\nI myself do not believe my own words.<\/p>\n<p>What is it that keeps me this na\u00efve? Optimistic, perhaps unrealistically so?<br \/>\nIs this a coping mechanism for protecting heart and sanity?<br \/>\nFor getting the job done despite being inundated by crippling sorrow?<\/p>\n<p>Or am I just in denial?<\/p>\n<p>Why am I the only one in this scenario who,<br \/>\neven as I write this several hours later,<br \/>\nstill doesn\u2019t know that<br \/>\n\u201cIt is done\u201d?<\/p>\n<p><em>Edit:<br \/>\nWeeks later the nurse shows me her obituary.<br \/>\nIndeed.<br \/>\nRIP GK.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>&#8220;Raise your hands up&#8221;, I say. She obeys while moving her fingers several times against her thumbs in loose fists. &#8220;Does it hurt?&#8221; &#8220;No, only [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9,3,4,75],"tags":[],"class_list":["post-170","post","type-post","status-publish","format-standard","hentry","category-all","category-medical","category-story","category-writing"],"_links":{"self":[{"href":"https:\/\/yetunde-siemers.com\/blog\/wp-json\/wp\/v2\/posts\/170","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/yetunde-siemers.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/yetunde-siemers.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/yetunde-siemers.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/yetunde-siemers.com\/blog\/wp-json\/wp\/v2\/comments?post=170"}],"version-history":[{"count":7,"href":"https:\/\/yetunde-siemers.com\/blog\/wp-json\/wp\/v2\/posts\/170\/revisions"}],"predecessor-version":[{"id":178,"href":"https:\/\/yetunde-siemers.com\/blog\/wp-json\/wp\/v2\/posts\/170\/revisions\/178"}],"wp:attachment":[{"href":"https:\/\/yetunde-siemers.com\/blog\/wp-json\/wp\/v2\/media?parent=170"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/yetunde-siemers.com\/blog\/wp-json\/wp\/v2\/categories?post=170"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/yetunde-siemers.com\/blog\/wp-json\/wp\/v2\/tags?post=170"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}