*Details in this post are partly fictitious*
A few weeks ago, a few days shy before hopping on a plane back to KL for an overdue holiday, I was working one of the many on-call shifts (ones that I had to do early to make up for the ones that I will miss). I remember it vividly as the day that I came home, went into the bedroom and broke down in tears.
There was a crash call earlier that day.
My beep went off.
"Cardiac arrest call, Ward A. Cardiac arrest call, Ward A."
Like others on-call, I ran down the stairs heading to the emergency. Upon arriving to the corridor, the nurses were shouting, "That bay, doctor! That bay!" Before discovering who the patient was, my heart sank down into my feet - I knew who this patient was. When I got there, my worst fears became true - it was my patient, she had just moved wards last week. There were people frantically giving her CPR and others scrambling to get viable access for medication. In the background, I heard her husband wailing in the corridor.
I jumped in and continued CPR. "Do not die on me. Do not
dare die on me," I thought with every jump of the chest. The conversations I had with her a few days ago ran through my mind - she seemed so well and was gaining strength with each passing day. Multiple shocks were administered without any avail. We continued CPR - I could feel and hear her ribs breaking under my hands.
We repeated the cycle every 2 minutes for almost an hour. In hindsight, we should have stopped earlier as it was clear that we were never going to get her back. But many of us knew her and her story, so giving up prematurely was initially not an option. But after 50 minutes, we all agreed that whatever we were doing was futile - she was gone.
Tthere was a deafening silence around her bedside. We were all quietly mourning her passing - heads down, eyes fixated on her lifeless body. I held her hand, and whispered in her ear, "It is ok, you are safe." I thought it was worthwhile despite knowing that she was too far gone to hear me. After a while, people started to leave the cubicle. Senior doctors broke the bad news with the family whilst I helped the nursing staff clean her body. Sheets covered with blood and gastric juices were replaced with clean ones, lines were removed and before exiting the ward, I closed both of her eyes shut. She looked like she was peacefully sleeping just then.
Feeling exceptionally numb physically and mentally, I was faced with the reality that despite how traumatising that ordeal was, it was only the beginning of my shift - there are many more potential emergencies that could follow on later today. I had to keep it together. But having found a quiet, dark corner of the hospital, I put on my earphones and blasted loud music to drown out the emotions and thoughts that were reeling in my head. Looking back, I am thankful for those bleep-free moments of sanity - I couldn't have completed my shift otherwise.
When I retuned home that night, the extra headspace that was afforded through the serenity of my familiar bedroom allowed for buried emotions to instantly resurface. I was sitting with A, his arms around me whilst I repeated, "We couldn't save her."