Underground lair (part 2)

BEEP! BEEP! BEEP
My pager had been quite all night. The sinking feeling that happens in the pit of your stomach whenever your pager goes off is typically pretty well ingrained after a week or two of intern year. And it's no wonder. Every time an intern's pager goes off, something bad inevitably happens:

BEEP! BEEP! BEEP -> Dr. Logan, there's a family member at the bedside of the cancer patient in Wonderland. They have questions and need you to come talk to them...(heart palpitations)
BEEP! BEEP! BEEP -> Dr. Logan, there's someone having trouble breathing in Purgatory. You need to talk to them, examine them, figure out what orders you need to write, write those orders and then write a 2-3 page note about them - hopefully finishing all of this before you get paged again. By the way, don't forget to go talk to the family member of that cancer patient when you're done...(heart palpitations)
BEEP! BEEP! BEEP -> Dr. Logan, there's a patient on the 8th floor of the Fog wing having chest pain. You need to go assess what's going on and maybe save her life. And you need to be pretty quick about it because there's still that patient in the ER and that family member waiting for you...(heart palpitations)

BEEP! BEEP! BEEP...(heart palpitations, in the absence of initial stimulus) I pick up the phone and dial a number I don't recognize.
ME: Hi. This is Dr. Logan, returning a page.
VOICE: (snorting and heavy breathing)
ME: Hello? (Dr. Logan wonders if he's just been paged by a wild boar)
VOICE: Hello.
ME: Who is this?
VOICE: (deep throated laughter) I'm surprised that you don't already know.
ME: What's this about?
VOICE: (chains clanking, snorts) We've met once before.
ME: You live under the hospital?
VOICE: (snorts now loader and shorter, more nearly resembling angry barks) I don't live under this hospital, I am this hospital. I am the irate family member in Wonderland; I am the old man who can't breathe in Purgatory; I am the diabetic lady having a heart attack on 8 Fog. It's all ME.

BEEP! BEEP! BEEP
I had set my pager to go off at 6am so I'd be able to get ready for 8am rounds. I recalled the events of the previous night:
1. Calmed a nervous daughter who demanded to know when her father with metastatic esophageal cancer and severe anemia secondary to a bleed at the surgical reanastamosis site was going to have radiation to the lesion in his brain.
2. Admitted a man with a COPD exacerbation.
3. Sent a woman with an ST elevation MI (heart attack) to the cardiac cath lab for emergency revascularization.
After that I had been able to sleep for about 45 minutes and seemed to recall having had the strangest dream. Upon getting home to my own bed in the late morning, I would halfway recall my attending having congratulated me for winning "...The battle."

2 Comments

  1. Posted June 6, 2010 at 7:22 AM | Permalink | Reply

    Uoof! An on-call dantesque dream of a family medicine resident. I can't help to wonder what this dream would have been like had you been an OB-Gyn resident.
    (Don't answer that!). Great suspense. Good writing.

    I still think sounds like a fantastic plot for a novel.
    Cheers.

  2. Posted June 6, 2010 at 7:11 PM | Permalink | Reply

    Look for part 3 later this week!

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