Concussed

The phone call comes at 3.30 on the last afternoon of term. An unfamiliar voice speaks: ‘I have your boy here. He came into the shop and collapsed.’
The woman’s voice is concerned, competent: ‘He wants to get back onto his bike and ride home but I won’t let him.’ The woman gives the address, a shop on busy Centre road, Bentleigh.
 
The mother of the child calls the boy’s father, cannot contact him, drives towards the place in Centre Road. The heavy Friday afternoon traffic races, stops, starts, unpredictably. The mother suppresses her urge to speed, shakes her head: ‘What if he’d collapsed in this traffic!’ Alone with her fear, she calls her father, doctor to the injured boy. She gives her father the bones of the story, adding: ‘He told the lady in the shop he was hit in the head earlier today. She says he’s talking but he’s not making sense. He couldn’t remember my number. Didn’t know the password to his phone. She rang the school and they put us in touch… I’ve nearly arrived. I’ll call again once I’m with him. ‘Bye.’
 
At 3.50 the doctor’s phone rings. His daughter’s voice, the boy’s, an unfamiliar woman’s voice, traffic sounds, snatches of conversation – ‘Dad, I’m with him now. He’s awake. He’s seeing double… Yes, thanks, in the back here. Sorry Dad, the lady who’s been looking after him is helping me get the bike into the car. He lost consciousness a couple of times. What does it mean that he’s seeing double? And he wants to vomit?’
 
Forty-eight hours earlier the doctor saw a boy in Resuscitation at the Royal Children’s Hospital. The boy had been hit by a car. He lay on a trolley, his body a gangle of bones, on his face a large bruise and the dopey smile of a child with no memory of the car that hit his head. The doctor-grandfather spends a lot of time with injured children in Emergency Departments. The doctor knows what double vision means, he knows what vomiting means. The grandfather in the doctor avoids the question, asking some of his own: ’Has he had a head injury?’
‘Yes Dad. A kid at school swung his locker door open and belted him in the head. He went to sick bay for an ice pack. After school he rode to the shops.’
The boy’s voice pipes, indistinctly, the phone set on speaker. ‘Saba, when I look at anything I see two of everything.’ The child slurs the words.
‘What part of your head did the locker hit, darling?’
‘What do you mean, Saba?’
‘Was it the front or the back or the side?’
‘Are you joking, Saba?’
‘No darling. What part of your head was it?’
‘Above my ear, a bit in front of it.’
 
Just in front of the ear, in the temporal region, runs a vulnerable artery which shelters behind skull bone thinner than elsewhere.
The doctor instructs his daughter to drive directly to Monash Medical Centre which is not far distant.
‘I don’t know the way, Dad.’ The father-grandfather-doctor is notorious for his lack of sense of direction. He directs the daughter, hoping. ‘I’ll call Emergency at Monash, darling, so they’ll expect you… Take a book with you. You’ll be there for hours.’
‘Dad, he’s just vomited. Now he’s falling asleep. Does that matter? Do I need to keep him wake?’
‘Try to keep him talking, darling.’
The grandfather speaks to the child: ‘Darling you’ll go into the hospital and they’ll look after you until you’re better. Then they’ll let you go home. You probably won’t be staying in the hospital.’
‘Saba, what will happen to me?’ The voice quavering:’ Will I be alright?’
‘Dad, where will I park?’
‘Drive straight to “Ambulances Only”. At the moment you are an ambulance.’
 
At 4.10 the doctor calls Monash, asks to be connected to the Consultant in Emergency. A young voice, informal: ‘Emergency, Preeti speaking.’
‘Hello Preeti, I’m sending you a child with concussion. I’m his GP. Are you the consultant?’
‘Yes.’
The doctor briefs the young voice. She listens, asks a couple of questions, says, ‘Thank you. We’ll be expecting him.’
‘Thank you, Preeti. I’m quite concerned… He’s my grandson.’
 
When the doctor’s phone rings the time is 4.40. It rings as he’s hurrying to the toilet to pee, the third time in twenty minutes. He stands still, commands his bladder to wait.
‘Dad, I dropped him and they took him straight in. Doctor Preeti was waiting. I’ve just come back, I had to move the car. My phone’s about to die.’
‘Darling, Shabbat is about to start. But I’ll answer the phone if you ring. Someone will lend you a phone. If you need me, call me, even though it’s Shabbat.’
‘’Bye, Daddy. I love you.’
 
The old man puts the finishing touches to his Shabbat table. His wife is away, visiting their Sydney daughter and Joel and Ruby.
He covers the loaves of challah, races to the bathroom, showers, dresses, recites the Afternoon Prayer, racing the setting sun. He finishes, checks the time, realises he’s just too late to light the Shabbat candles: he won’t make fire on the Sabbath. Ordinarily he won’t use the phone. During Shabbat he’ll allow the phone to ring, enjoying freedom from the i-tyrant, celebrating the sample of paradise that is the Sabbath. But tonight he’ll answer it.
 
Darkness falls. The old man recites his Evening Prayers, rich with poetry from the mystics of Safed and the Golden Period in Spain. The dying of the day, the passing of the workaday week, the beauty of the sung hymns, all these have always found him susceptible; since childhood the eve of Sabbath makes him prey to tender feeling.
 
He looks across at the table, set for two. He recites the She’ma Yisrael prayer, inserting, by old family custom, an improvised prayer. He prays: ‘ Heal the boy and all who love him.’
 
The old man sings the hymns, he welcomes the Ministering Angels, he praises his wife – “A woman of Valour, who can Find? Her Price is above Rubies” – then he sings the Kiddush dedication, drinks his grape juice, washes his hands and sits to break bread. Before him, chicken soup with noodles and kreplach, four salads, slow cooked lamb shanks, potatoes. He eats alone, wolfing the feast he prepared for two. His elder daughter won’t be finished at the hospital until very late.
 
The food is good. He’d made a great effort for this meal with his daughter. He eats and gives thanks. Afterwards he reads. He reads three newspapers then opens the political biography a friend gave him. Deprived of sleep as he always is by Friday, he doesn’t expect sleep will come quickly tonight.
 
At 8.00 the front door opens. His daughter enters and they embrace. The boy is well. He’s back home with his brothers and his father. Surprised by her early arrival, the doctor listens to his daughter: ‘Dad, they asked him questions, they checked his eyes and his pulse and his blood pressure again and again. They tested his balance. He improved and they let us go. They said once four hours had passed the danger was much less. They timed it from when he collapsed in the shop.’
 
While the mother speaks the father prepares a salad to replace the four he wolfed. The child-mother eats with relish. ‘I’m sorry I spoiled our meal, Dad.’
She toys with the lamb shanks that come cold to the table. ‘Dad, I can’t eat any more. It’s been a big day.’
Father and daughter look at each other. No words are spoken, none needed; each knows the content of the other’s mind. The father looks away, knowing without looking how his child’s lip trembles and her eyes fill.
 
A minute or two of quietness, then the daughter smiles: ‘By the time we were leaving ED his speech was perfectly clear. He was saying he wanted junk food. Then he said, “Let’s ring the kind lady in the shop and thank her.”’

13 thoughts on “Concussed

  1. Loved reading this – as a mother, grandmother (sadly not a doctor) but with wonderful memories of a kind and caring GP

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    • Hello GranJan

      Wonderful to be in contact with you, whom I recall for your gentleness and goodness

      I recall the drug addicted teen you took into your home

      You had to lock up all medications
      And even nutmeg from your pantry

      Nowadays I prepare my own recipe for chai tea
      As I add the nutmeg I always recall your teen, who, on sighting your nutmeg, cried:NUTMEG- YUM!

      Affectionately

      Howard

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      • Yes she loved the nutmeg, made a tea out of it. Add a bottle of vanilla essence to that and she was on a ‘high’ for 12 hours then a very miserable (and sick) ‘low’ – small correction- we were living in a (live-in centre) 1/2 way house – at Nutfield (unfortunate choice of name for the location of said property) so not exactly in my home but we’re were living – in 6 days a week. Enjoy your chai tea! So pleased to have found your blog Howard…look forward to reading more of your adventures….

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  2. I knew how this story ended, but I was still on the edge of my seat. Lovely story, and as usual emotionally charged. Poor J, hope he is feeling better.

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  3. Such an emotional story, very interesting to read from the point of view of the grandfather/doctor who was on the end of the phone. Must be a greater worry for a doctor grandfather who knows all the terrible possibilities.

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    • Hello again BMP

      Yes i was agitated and distressed

      To a degree that surprised me

      I thought of all the worst possibilities

      The experience was a difficult one

      As usual I knew I would write about it

      And writing about it helped me

      Thanks for writing, BMP

      Howard

      Liked by 1 person

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