Other than the myriad objects that men (gay and straight so far as Snoopy president shirt I could tell) inserted up their anuses, the vast majority of people who show up in large urban ERs are in very bad shape, many with horrific and bizarre injuries, and most of them undeserving victims of the woes that afflict people in need of emergent care for life-threatening trauma and disease. I suppose the run of PCP users who were violently acting out on their way through the ER to an isolation room in the Psych Ward falls into the category, but mostly it was more like, “Oh, crap, another one” until the popularity of that particular street drug tapered off. One of the two that stand out for me was a very attractive woman who was comatose, not a mark on her anywhere, and not on drugs. It did not escape anyone’s attention that she was model-beautiful and incongruous both in terms of her looks and her clinical presentation. She had been in an auto accident but it was so long ago that I don’t even remember what her diagnosis was, beyond suspected internal bleeding.
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I do remember that after a Snoopy president shirt a few weeks in ICU she recovered and went home, yet another anomalous course for the kind of patients we usually saw that distinguished her. The other one was a 2-year-old little boy near-drowning that I was summoned to the ER for a stat portable chest X-ray. I pulled myself together, did my work, and delivered the film to the doctor’s hands asap. I couldn’t bear to follow up on that little one, so have no idea what the outcome was. Needless to say my reunion with my first-born on going home that night was memorable for me.
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