this week I had a mammogram which is always painful and degrading and cold something suspicious sent me back for a repeat more compression and waiting possible biopsy turned out to be a cyst I drank a mimosa and ate avocado toast in the sunshine this week I worked at the triage desk and received patient after patient with small and dire emergencies this week I saved the life of a young man with a GSW to the chest pouring unit after unit of blood into his body while the trauma surgeon opened his chest and shocked his heart and gave him intracardiac epi this week I lost the life of someone's mother and grandmother all the efforts to repair her head wound keep her heart beating and warm her body enough to support her blood pressure failed to save her she had told her family she wanted to die and jumped down a ravine into the cold creek this week I called my brother in the hospital with sepsis from a necrotic wound from his wheelchair he sounded discouraged to not be able to tend to his patients the children of migrant workers instead he is the patient going to the OR and ordered to not work for 6 weeks this week my phone died disconnecting me from everything I learned how dependent I am on the small block of glass and metal that is also a powerful computer as well as a lifeline I didn't know I was missing calls and texts, the silence was unnervingly blissful this week I had an out of body experience my hands and feet carried out their usual activities but my mind could not connect to the present moment was I dreaming did that happen did I have that conversation the words went through my ears but never reached my heart this week I had an argument with my love hearing his voice raised in frustration my heart slamming against my cold sternum shocked muddled confused what just happened why are you yelling I am not like you yet I apologize but don't know what for this week I held the phone for my patient to speak to his family in breathless one word phrases just before he was intubated the virus claimed another set of lungs and I pushed his bed to the ICU this week I launched a new nurse into practice after weeks of training her to think critically under pressure advocate for her patients recognize subtle but dangerous trends in her patients conditions speak up in a noisy trauma room because she noticed the problem she is ready to be independent this week I laughed and joked with my nurse colleagues inappropriate and crude to let off pressure after a grueling shift the young man whose heart stopped twice after we shocked him back to life will probably not recover and we will never know the truth about what happened to him I think of his mother getting the call and my laughter turns to tears this week I slept for days exhaustion never leaving my body or my soul no matter how long I slept my eyes burning from the light my legs so over tired they feel like cedar logs my breath slowing as dreamlessness takes over then bring coffee
