It’s 5 a.m. and I’m fresh off a 3 p. – 3 a. shift in the ER. I’m a social worker there, which is, at times boring - as in, “Bring me a Coke or a blanket or help me make a phone call…” It is also, at times, quite harrowing – as in, “Call this man’s family and tell them he has died in an ‘MVC’ (motor vehicle crash) - and, get them here right away to identify his body and claim his valuables…”
Really, really bizarre work - good work - but really, really bizarre work. .Tonight’s shift started out slow, which meant I had time to complete my “holiday bereavement cards.” These are personal notes written to anyone I’ve tried to help through an awful experience during the past year.
This year’s list included families of a “GSW” (gun shot wound - in this case fatal) to the head, a premature and quickly fatal stroke, a suicide., a foreseen but still very sad heart attack, and a 10-week old baby’s death…Serious stuff here - these people are hurting intensely this holiday season, and here I am, fretting about Mr. Clark finding work …
Around 1:30 in the morning, as it often does, ER hell broke loose…
A woman transferred from another hospital, bleeding badly, is in need of surgery tonight. Her distraught, but clearly strong and connected family signs the consent forms and tries to deal with the news from the surgeon that, “she probably won’t make it through this…”
The wife and daughter of a man with untreated high blood pressure hear that he has suffered “a massive stroke - from which he won’t recover.” Such strong women they were, praying and crying and talking to him, touching his chest and telling him how much they love him and how much they needed him to get better, while at the same time saying good bye…
There was an intubated man, also transferred from another hospital, his injuries the result of an MVC. In this case, his girlfriend apparently dropped him off at the ER and left. As head injury patients often are, he was combative, and somehow ended up heavily sedated and on a breathing machine - no family, friends or girlfriend in sight, no numbers in the chart or anywhere on him to call…
Add to all that, the poor panic attack girl who was on her second ER visit – seventh panic attack – of the day and you really begin to count your blessings.
After all, it is the holiday season, and many of us have brightly lit Christmas trees or other holiday decorations shining in our homes. We have loved ones, and good health, and holiday plans that involve good food, much laughter and excellent fellowship. It’s hard to imagine, as we gather near our Christmas trees or Menorahs or whatever, that some - in fact, so many – folks are struggling so hard, just trying to make it through the aftermath of a terrible tragedy.
On the way out of the hospital I stopped to look at the huge Christmas tree they put up in the main lobby each year. It’s three stories high and replete with lights and great big shiny ornaments. Even though the hospital was quiet and dark - almost eerily so at 4 a.m. - I swear, I heard a few strains of Silent Night, swirling up around that beautiful tree, lifting softly and sweetly into the night…I thought about all the sad situations and difficult times happening to people in rooms all over this big place…and, I said a heartfelt prayer of thanks.
My life certainly has some very real, very big-seeming problems looming relentlessly over our heads, even as we try to solve them. The brightness of my New Year - given the state of the economy and Mr. Clark’s continued unemployment - is in no way guaranteed…But, I do have a healthy family who will gather around my Christmas tree again this year, and once again, we are all, in various degrees, okay.
Life, and God, are good, and I see that, and I hear that, in the faces and words of so many of the people who pass through the ER, having such very terrible days. They talk of love, and faith, and happy memories…There are no words of hate at an ER bedside. There are only tears, and hope, and sometimes - to those serving at that bedside – a reminder of how thankful we all must be.