Friday, March 7, 2014

End of the Road

Some days, when I least expect it, certain calls mow me down in ways I never thought possible. People ask me sometimes what the worst call I have been on is. I don't usually entertain their morbid curiosity.They are usually looking for grotesque stories that exceed imagination. But most of the time, the gory, blood-filled calls or the cardiac arrests really aren't my worst calls. They are perfunctory and by-the-book. I usually have little, if any. time to interact with my patients on truly critical calls. My worst calls usually are borne from the depths of despair of humanity. The patients who know and are conscious of how awful and hopeless their situation is and yet are unable to do anything about it. Those are the ones that pain me long after I have walked away.
We had one such call the other day. And I want to share it with you, not to wow you with some tale of heroism or adrenalin-fueled lifesaving. I share it with you because I want you to understand the truly tragic calls that never cross anyone's mind when they ask what the worst call ever was.