Monday, March 21, 2011

It's the End of the World (Season 2, Episode 16)

It's a look patients get in their eyes.  There's a scent.  The smell of death.  Some kind of sixth sense.  When the great beyond is headed for you, you feel it coming.

What's the one thing you've always dreamed of doing before you die?

Friday, February 25, 2011

Not Responsible (Season 7, Episode 16)

Everyone figures doctors are the most responsible people they know.  They hold lives in their hands.  They're not flakes.  They don't lose track of important details or make stunningly bad judgment calls, 'cause that would be bad, right?

We are responsible with our patients.  Problem is, we blow it all out at work.  In our own lives, we can't think it through, we don't make a sound choice.  We did that all day at the hospital.  When it comes to ourselves, we've got nothing left.  And is it worth it? Being responsible?  'Cause if you take your vitamins, and pay your taxes, and never cut the line, the universe still gives you people to love, and then lets them slip through your fingers like water.  And then what have you got?  Vitamins, and nothing.

Thursday, February 24, 2011

Golden Hour (Season 7, Episode 15)

How much can you actually accomplish in an hour?  Run an errand, maybe? Sit in traffic.  Get an oil change.  When you think about it, an hour isn't very long.  60 minutes.  3600 seconds.  That's it. 

In medicine, though, an hour is often everything.  We call it the golden hour - that magical window of time that can determine whether a patient lives, or dies. 

An hour - one hour - can change everything.  Forever.  An hour can save your life.  An hour can change your mind.  Sometimes an hour is just a gift we give ourselves.  For some, an hour can mean almost nothing.  For others, an hour makes all the difference in the world.  But in the end, it's still just an hour.  One of many, many more to come.  60 minutes.  3600 seconds.  That's it. And it starts all over again. And who knows what the next hour might hold?

Saturday, February 12, 2011

P.Y.T. (Pretty Young Thing) (Season 7, Episode 14)

One of the hardest lessons as a doctor is learning to prioritize.  We're trained to do all we can to save life and limb, but, if cutting off a limb means saving a life, we learn to do it.  Without hesitation.  It's not an easy lesson to learn, and it always comes down to one question, "What are the stakes?"  What do we stand to gain or lose?  At the end of the day, we're just gamblers, trying not to bet the farm.

Surgery is a high stakes game.  But, no matter how high the stakes, sooner or later you're just going to have to go with your gut.  And maybe, just maybe, that'll take you right where you were meant to be in the first place.

Friday, February 4, 2011

Don't Deceive Me (Please Don't Go) (Season 7, Episode 13)

Doctors practice deception all the time.  We give vague answers to hard questions.  We don't talk about post-op pain.  We say "you'll experience some discomfort."  If you didn't die, we tell you the surgery went well.  But the placebo has to be the doctor's greatest deception.  Half of our patients we tell the truth.  The other half - we pray the placebo effect's real, and we tell ourselves that they'll feel better anyhow, believing help's on the way, when in fact, we're leaving them to die.

Doctors practice deception every day.  On our patients.  On their families.  But the worst deception we practice is on ourselves.  Which is why sometimes it takes us a while to realize that the truth has been in front of us the whole time.

Friday, January 14, 2011

Start Me Up (Season 7, Episode 12)

People are really romantic about the beginnings of things.  Fresh start.  Clean slate.  A world of possibility.  But, no matter what new adventure you're embarking on, you're still you.  You bring you into every new beginning in your life, so how different can it possibly be? 

It's all anybody wants, right?  Clean slate.  A new beginning.  Like that's going to be any easier.  Ask the guy pushing the boulder up the hill.  Nothing's easy about starting over. 

Friday, January 7, 2011

Disarm (Season 7, Episode 11)

To a degree, medicine is a science, but I would argue that it's also an art.  The doctor's who see medicine as science only?  You don't want them by your side when your bleeding won't stop, or when your child is screaming in pain.  The clinicians go by the book.  The artists follow their guts.  The artists feel your pain, and they go to extremes to make it stop.  Extreme measures.  That's where science ends, and art begins. 

Surgery is extreme.  We cut into your body, take out pieces, put what's left, back together. 

Good thing life doesn't come with a scalpel, because if it did, when things started to hurt, we would just cut and cut and cut.  The thing is, what we take away with a scalpel, we can't ever get back.  So... like I said... good thing.