The Man Who Wouldn't Die

We’re called for a person not feeling well in an elderly housing hi-rise not far from the hospital. The man is an emaciated AIDS patient, who is laying naked on the couch in his dark apartment. he has a colostomy bag. His girlfriend says they were at the emergency department for seven hours today, then left.

“What did the doctors say was wrong?”

“Nothing. We were in the waiting room.”

The fire fighter first responder says he can’t feel a pulse, but the man is talking and alert. Its not unusual to have a difficulty feeling a pulse on some AIDS patients who are often baseline hypotensive. Since it is so dark in the apartment, I just say put him on the stretcher, give him some 02 and we’ll work him in the ambulance.

Downstairs in the ambulance, I try for a blood pressure and can’t hear anything. His nail beds are white. I put in an IV while my partner puts him on the monitor.

“Why are you grimacing?” my partner asks.

The man is suddenly writhing.

“My chest hurts,” he says.

I look at the monitor. He’s in V-tack.

I slam some lidocaine in the IV line and tell my partner to drive to the hospital. We are only a coupld blocks away.

I put the pads on the man’s chest. “This is going to hurt,” I say.

Before I hit the shock button, I pull out my intubation kit and have it ready.

I shock him.

He screams.

Still v-tack.

“Sorry, I have to do it again.”

I shock him. He’s out.

I grab and tube and using a device called a bougie, slide the bougie between the vocal chords, then slide the tube over it. I’m in in like twenty seconds. I do some compressions, venilate through the tube, grab some epi and slam it in the line, and just like that we are out at the hospital.

Another EMT comes around and helps us unload the patient. When we wheel him into the cardiac room, the doctor takes one look at his emaciated body and says, “He’s asystole, he’s dead.”

“But he just coded like two minutes ago,” I say.

“Look at him, he’s terminal.”

The doctor is right. He looks like a Biafrian.

“He was v-tack. I shocked him twice. He was here for seven hours today in the waiting room.”

The doctor ponders a moment, looks at the ECG, says, “11:34,” and leaves the room.

The nurse takes the rest of my report, then writes in the time, then goes over to prepare the body.

The man takes a breath, a deep gasp.

She jumps. “Oh, my god.”

He gasps again, and with each gasp, his breathing becomes more regular. She hooks him up to the monitor. He has a rythmn.

“I guess I better get the doctor.”

She comes back with the doctor just in time to see the man take his last gasp. The monitor goes back to straight line.

The doctor shakes his head. “He’s dead,” he says.

“You don’t want to give him some epi?”

“No.”

He turns to leave the room. The man takes another deep gasp.

The doctor turns and glares at him as if to command him to cut it out. He’s still breathing.

The doctor approaches, lays his hand on the man. He stops breathing.

“I’m giving him epi,” the nurse says.

“Fine,” the doctor says. He glares at me. “Thanks again,” he says.

I have been bringing him a number of codes lately. “My pleasure,” I say.

I leave to write my run form. When I come back fifteen minutes later there is a sheet over the man. The nurse stands across the room watching him.

“He’s really dead now?” I ask.

She gives me a sarcastic smile as she accepts my run form, then returns her gaze to the body on the ER table.

2 Comments

  • Stacey says:

    bougies are cool. It is hilarious to me how such a simple piece of equipment can make things so much easier.

  • Anonymous says:

    Ours is an envionment where evil is perceived to be rewarded while good is punished. As with everything the Gods have a reason for creating this perception::::
    People who fall on the good side of the good/evil scale have more favor, and when they do something wrong the Gods punish them BECAUSE THEY WANT THEM TO LEARN. The Gods want them to receive this feedback in hope they make corrections and begin to behave appropriately. The Gods DON'T like evil and refuse to grant this feedback.
    EVERYBODY pays for what they do wrong, only evil people must wait until their next life before they will experience the wrath of the Gods, manifested in their reincarnation as a lower form of life into environments with increased/enhanced temptations.
    Sadly, this allows the Gods to position this perception of evil rewarded as temptation, one which they use as an EXTREMELY effective corruptor.

    Militancy in Africa is consistant with the Iraqi example, as was slavery and the KKK here in America:::Fear enforces proper behavior. Without it we see what happens as a result of gross/morbid disfavor:::::AIDS, crack babies, dead young men in gangland retaliation killings. This is the purpose behind many black's historical tendancy towards resistance.
    The same principle was true in Europe and throughout the world for centuries:::People whom lived under iron fists were conditioned to think the right way. As a result they experienced higher numbers of children accend into heaven because they were taught to think and behave appropriately, which they passed on to their children. Our preditory envionment of "freedom" was the primary purpose the Gods had when implimenting this strategy that is the United States, one which they used to spred the cancer of democracy and westernization throughout the world. And the Gods use this tool that is America to prey on the disfavored both at home and abroad:::Much like the ghetto, America in general experiences a heightened level of temptation due to the people's disfavor.

    Even the Old Testiment is not to be taken literally, but the Gods do offer clues throughout to help the disfavored:::The apple is a tool of temptation used to corrupt Adam and Eve and cast them out of the Garden of Eden.
    There is another lesson to be learned from this passage, and it is quite similar to the vailing issue and the discourse over women's attire which ultimately died in the 70s:::Women are responsible for and control the fate of mankind.

    Think about what I say. Consider what I teach. Society is going to become disturbingly ugly as we approach the Apocalypse due to spiralling, runaway disfavor.
    I do not know when this will occurr, but it is the God's way to grant some time before they end on Planet Earth.
    Make the decision to always be good and never look back. Until you do this technology will employ tactics to test your resolve:::Ridicule, beligerance, doubt and refusal to abandon what people perceive to be their "investment".
    Pray daily. Think appropriately. Too many are confident, unaware of the God's awesome powers or their status as antients. Others may fall prey to their positioning.
    Be humbled, God-fearing and beware of the God's temptations, for everyone is tested to evaluate their worthiness.
    Search rest

    Do you women REALLY understand exactly how bad abortion hurts you in the eyes of the Gods?
    No matter how well things go in your relationship with the Gods you can kiss immortality goodbye.
    WHAT "YOU BELIEVE" ISN'T WHAT IS IMPORTANT. IT'S THE POLICIES THEY WILL ENFORCE THAT MATTERS.

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