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The Shed

As the morning fracture clinic came to an end, my planned escape out of the department and towards a bacon sandwich was intercepted by one of the consultants.

“What do you have planned for this afternoon?” he asked.

I’d planned to spend some time in a quiet corner of the library with a pile of urology books, writing up a case report that I had been sitting on for a week and a half. It seemed imprudent to say that, though. I said that I’d had nothing particular planned and asked what I might be able to go to.

“The registrar is doing the trauma list and he’s looking for an assistant. Do you know how to suture?”

No. Well, not exactly. In any case, definitely not on a real person. The only time I’d ever really sutured anything was a block of foam in the clinical skills lab, almost a year earlier, badly. Besides, I didn’t know what the registrar had had in mind when he’d said that he was looking for an assistant but my guess was that it hadn’t been a medical student whose participation in surgery thus far had been limited to retracting things and cutting the ends of bits of thread.

My confession of utter incompetence didn’t deter him too terribly much and he pointed me in the general direction of ortho theatre before letting me run off to get that bacon sandwich. And a little while later, having fed and caffeinated myself and grabbed a few minutes to bend my hands into vaguely unnatural contortions while watching suturing videos on YouTube, I took myself off to theatre and learned that, just as I had feared, I was the one and only surgical assistant.

There is arguably nothing too terribly technical for a first assistant to do on fracture repairs.

“Have you ever used power tools?” the surgeon asked casually as I held the leg and he dissected out the bone.

“Yes,” I said, and then added doubtfully: “In a shed, though.”

As a little girl, I spent a lot of time in my grandad’s shed. I liked wearing dungarees and sawing things and hitting things with a hammer. I liked that the grown-ups weren’t allowed to come in – my grandfather didn’t count, not having ever seemed like a proper qualified sort of grown-up. I grew up around power tools and then snubbed a GCSE in sewing or cooking to take one in electric drills and soldering irons. But you assume that the tools they’ll use on real people are different from the ones you used on wood and metal.

It’s not that different. The toolbox is a bit bigger and a lot more sterile, that’s all.

“OK, so take the drill,” he said.

I looked skeptical.

“You want to make a hole in that space there at right angles to the plate. Just remember that there are two cortices, so you’ll want it to give way twice before you pull back.” I pointed my drill bit at the exposed bone. As I started to push down on the power, he said, “Oh, and try not to drill through to the table.”

Quite.

Painstakingly, I drilled a hole into the distal tibia and tried not to think about hearing the rattle of metal on metal.

“Now, take the screwdriver,” he said, and helped me fit a minature screw into the equally minature hole I’d made. I was reminded strongly of lying flat on my back with my head inside a half-constructed flatpack cupboard while trying to read a set of instructions that might as well have been written in Elvish. The first screw slotted in. I handed the screwdriver over and hoped that that might be me, but that was a pipe dream and I took the drill back and repeated the whole process, still not convinced that the whole thing wasn’t about to fall very very apart.

And with my palms sweating nervously under two layers of latex, the tibia came slowly back together

I didn’t have to suture anything, in the end.

“Can you get a pair of forceps and a staple gun for Elizabeth?” asked the registrar, as he stripped out of his gloves. A marvellous invention, the staple gun. I didn’t have to suture anything. Hats off to the gentleman from Poughkeepsie.

The suturing might have been less frightening.

Comments

( 2 comments — Leave a comment )
zandras_court
Apr. 12th, 2011 07:01 pm (UTC)
“Oh, and try not to drill through to the table.”

This made me laugh out loud. I'm going to assume you stapled the patient with more skill than the doc who did me after my last c-section, where I resembled a 5yr old's paper art project.
sefkhet
Apr. 12th, 2011 09:09 pm (UTC)
It stunned me into silence. If it hadn't, I might have said what I was thinking out loud, which, given that it was, "are you fucking kidding me?" is probably just as well.
( 2 comments — Leave a comment )
It is difficult to know what to do with so much happiness.
With sadness there is something to rub against,
a wound to tend with lotion and cloth.
When the world falls in around you, you have pieces to pick up, something to hold in your hands, like ticket stubs or change.

But happiness floats.
It doesn't need you to hold it down.
It doesn't need anything.
Happiness lands on the roof of the next house, singing, and disappears when it wants to.
You are happy either way.
Even the fact that you once lived in a peaceful tree house and now live over a quarry of noise and dust cannot make you unhappy.
Everything has a life of its own.,
it too could wake up filled with possibilities of coffee cake and ripe peaches,
and love even the floor which needs to be swept,
the soiled linens and scratched records.

Since there is no place large enough to contain so much happiness,
you shrug, you raise your hands, and it flows out of you into everything you touch. You are not responsible.

You take no credit, as the night sky takes no credit for the moon, but continues to hold it, and share it, and in that way, be known.

- Naomi Shihab Nye

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