Showing posts with label colic. Show all posts
Showing posts with label colic. Show all posts

Adrian:


have you heard hope whisper through this hospital?

it ghosts along corridors and seeps under doors
one clear morning, it swirled around four grey fetlocks
trembling in the stocks of the treatment room.

would you go to surgery, doctor? if he were yours?
well, i wouldn’t have the money.
say you did?
if i had fifteen thousand dollars to light on fire?
i guess i’d try.

twenty percent.

the thing about hope is,
it has no regard for odds.
six pairs of eyes lowered as we rolled to surgery
heads shook
and hope stayed.
it curled up next to a plush grey muzzle
and went to sleep.

the operating room hummed quietly
as the anesthesiologist’s nimble fingers
dosed out sleep
pressors, pain control, postive inotropes,
a careful finger on a pulse point, a grave expression.

i held his intestines as surgeons measured, cut and sutured.
and watched the dark coils brighten to pink.
it is surprising how slow the surgeons’ swift hands can seem
when each breath is a victory.

we left bloody footprints down the hall
spots and drizzles to recovery
the big grey horse soaked with red
stood up
swayed
and stayed standing
and the surgeon’s eyes danced.

fifty percent, maybe.

hope crept along as he stumbled to the ICU
dizzy with discomfort and residual drugs.
it melted into the warm bags of plasma
and brightened each golden and expensive drop

but he shivered in his ice boots
and his guts stayed sick and slow.
i watched the lazy loops on the ultrasound screen
and poured buckets of reflux away.

we weren’t sleeping.

i asked my stethoscope for anything but silence
a quiet query for the warm rumble of digestion
then i sat on the textured rubber floor
and watched him breathe.

i was filling a bucket of ice, maybe
when the resident came to his stall.
he said my big grey horse was dying
and i told him he was wrong.

see, though his bloodwork’s in the toilet
and you’d think he’s getting worse
hope is twirled through his forelock
and humming in his heart.
and he will be better tomorrow.

i said the words like ice chips
crisp and cold and tingly
just like that, they felt true.
and they were.

he dragged me across the pavement
two days later, or maybe it was three
so eager for the succulent grass
that he forgot his manners

you know, once –
in a dizzy day after a night in the OR
I heard an exasperated resident ask the air:
why do we even do colic surgery?

some days the horse dies on the trailer
or exsanguinates on the table
or expires after a septic stint in the ICU
but sometimes hope catches up
and hope is powerful.

it can carry a horse over and nudge him forward
get him on the trailer and send him home.

have you seen a grey horse gallop joyfully
with just a shadow of a surgical clip on his belly?
i have.

surgeons are weird, redux:

We're in the middle of a colic surgery. The surgeon and the resident are on opposite sides of the horse, who has a 360 degree large colon volvulus.

This conversation happens:

resident: "I wish I had paddles for arms!"

surgeon: "AUGGHHH! The cecum is my nemesis!"

anesthesia is not fucking around today:

Anesthetizing a horse can be somewhat exciting, mainly because it involves a horse going to sleep suddenly and laying down.  There's a way to do it so it mostly happens without incident:

1. Sedate the horse, rinse out his mouth.

2. Position the horse against a padded wall.

3. Rope on the head, rope on the tail. These ropes go through rings in the wall.

4. Anesthesia injects the valium and the ketamine.

5. Someone raises the horse's head.

6. Person on the head rope sits on the rope, holds the tension as the horse gently slides down the wall into a "sitting" position.

7. Person on the tail rope pulls as the horse sits.

8. Flop the horse over, anesthesia intubates, etc.

So we're anesthetizing a horse for colic surgery, and I'm on the head rope. The anesthesia resident turns to me, and we have this conversation:

Resident: "Do you know what you're doing on the head rope?"

Me: "Yes."

Resident: "Well, you have to tell me exactly what you're going to do. You know, students will tell you that they know what they're doing when they actually have no idea."

Me: "You're going to induce him and raise his head. I'm going to sit on this rope and hold the tension while he slides down the wall."

Resident: "Oh...okay, you DO know."

seriously this happened:

Friends, today I got the most ridiculous page.

The zenith (nadir?) of inane has been reached. It was better than "80085" on the purely numeric pagers, and much more hilarious than "8==D" on the alpha-numerics.

(for those of you who don't dick around with the pager system, these are "boobs" and "cockandballs", respectively.)

But first - the necessary back story:

I've been taking care of this horse for about a week now who we'll call Adrian. Adrian colicked very badly and had surgery that mostly fixed his problem, but his surgeons only gave him about a 20% chance of making it. He is so far doing very well (knock wood). Adrian and I, we've spent hours and hours together. It is fairly accurate to say that I have spent this entire week nursing him in the ICU. I have drawn his blood, given him his drugs, walked him, stood him in ice, caught his urine for testing, and generally fussed over his every need.  At this point, I know the horse well.

So! I get a page to the front desk, which I answer.  I then have the following conversation with Sandy, the front desk person:

Alacrity: "Hey, it's me. What do you need?"

Sandy: "Alacrity, I need you to go check Adrian to see if he has testicles."

A: "...he doesn't."

S "No, I need you to actually go look at him."

A: "I promise he doesn't have testicles."

S: "Well, someone looked in his stall, thought he had testicles, and changed his file to show that he's a stallion in the computer system. But I'm confused, since he came in to be gelded (castrated) three years ago."

A: "He does not have testicles."

S: "Please just go look at him."

A: "You're seriously making me do this."

S: "Yes."

I checked. He's a gelding, doy. Surgery report from the castration is right there in the computer system.

WOW.

post-op commentary on a colic surgery:

"I guess we should take the 4x4s out of his asshole as well."