Poetry in Medicine

Pickwickian

Pickwickian

Earl Stewart, Jr.

 

She lay there, frail

And feeble with increased work of breathing.

Unbeknownst to her the travail we employ to aid her,

Her mental status altered, her strength

Failing, our strength in full force.

Acute hypoxia is her definition, she is

Short of breath and stature.

88% on 3 LPM, her lethargy

Not lethargic, her mental status

Altered.

Lung exam coarse.

Stat chest X-ray.

Stat arterial blood gas.

Increase her oxygen requirement to 4 LPM.

Continuous pulse oximetry.

Initially to 91% . . . then 92% . . .  and 94%.  We are relieved.

 

In the middle of the night, in the flight

Of time, such is rather expected.

 

I leave in pursuit of other fulfillments

Of my time, my calling.

 

A page—now to 88% on 4 LPM, then 5, then 6.

Consider BiPaP.  BiPaP it is.

97% and stable, occasionally to 99%.  Sheer relief.

 

One hour later, she is alert, awake, asking for eye drops,

Rather jovial, even for lipstick, and a sip of water, with crunchy ice.

Denies lethargy.

Short, stubby, pleasant disposition.

88 years young, very Pickwickian, and

Alive.

Advertisements

I welcome your thoughts . . .

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s