At the Hospital for Sick Children

A too large five year old fills a cot whose sides are raised. His limbs move unpredictably and without purpose. He plays with a six-month old’s bright rattle.

His Mum is Ebony, solid and calm, about thirty. She tells me some of the story of Simon, her boy, naming a heritable syndrome of faulty collagen that causes joints and bones to break or dislocate.

 

But Simon’s bigger problem is the stroke that affected him in utero. Ebony felt turbulent convulsive movements in her belly when she was 20 weeks pregnant. Her tummy had swelled excessively, a sign of polyhydramnios, a hint of underlying abnormality in her unborn child. An urgent MRI showed cysts in both sides of the baby’s brain. After Simon was born he suffered seizures. It took two years before the doctors found the right medications to control Simon’s fits.

 

Ebony tells me all this levelly, undramatically, without reflecting on the strain and the burden she bears for this child she loves. Somehow too, she shows me she is not denying that strain; simply this is Simon’s story; she, Ebony, is not the story.

 

Scanning the clinical notes I gather Simon and Ebony live alone. “What about Simon’s Dad, is he part of Simon’s life?” – I wonder.

“Yes. One day a week… he left six months after Simon was born. He said it was too much for him…he’s a social worker.” A smile, not bitter, but of learned knowing.

 

“I started studying Art while Simon was in Respite. My work is showing in Perth at the Biennale. I sold a picture!”

Another smile, this one of delighted pride.

“The man who bought it was a senior man in the government. When he discovered my opposition to our mandatory detention of refugee children he told me he wouldn’t have bought it if he’d known that.”

 

At my request, Ebony pulls out her portable picture gallery, a series of images on her phone. I lack the vocabulary for the power and originality, the life, in these electrifying images.

“I paint on paper in oils.” I can see from her phone how the oils give a vividness to Ebony’s pictures.

She continues: “I said to that government man, ‘You can have your money back if you want to return the picture.’ But he hung on to it.’” Another Ebony grin.

“And Mr. Morrison, the minister in charge of that cruel policy, he wanted one of my images for his Christmas cards. I said, ‘Sure. You can have the image free of charge. Just change your policy first.’ He sacked the man who took that message to him.”

 

I read Ebony my blog piece – “How We Killed Leo”. Ebony gasps when I read of Leo gifting his organs: “I knew Leo. Down Geelong way, we all did. We all loved him. Such a good person. I never knew about his organ donations. And now we’ve lost him.”

 

Two minds in unexpected harmony.

 

We look down at Simon who continues his sporadic horizontal calisthenics. His belly is large, oddly misshapen. As if it were filled with tumours. I ask Ebony some doctor questions. She shakes her head to all my questions until I ask about the boy’s bowel habit. “He hasn’t pooed for a week. Geelong Hospital sent me to the city because they know him here. They’ll do an enema here and then we’ll drive home.”

I make some calculations: nine hours from her door and back. Nine hours of time and waiting and caring. I look at Ebony and she smiles: “It’s a relief. As long as Simon’s alright…”

Ninety five years of wisdom

My friend Dr Paul Jarret keeps his brain (and the brains of his scores
of followers) alive with his daily email transmissions. I receive an
average of four a day. Paul was a surgeon, an aviator, a morbid
anatomist (that means he cut up dead bodies to discover their cause of
death). He has a wonderful memory and a wry and tender way with words.
His brain will celebrate its 95th birthday this sunday.

Happy birthday, Paul.

May you live – and write – to a hundred and twenty.

Earlier today I received this from Paul:

Remembering the sessions I spent as a Medical student in the Surgical
Amphitheater I wonder what the Professor thought we could see from that vantage point? Surely when he was a student he sat up near the ceiling and like us was barely able to identify the incision, much less the viscera. I suspect that today’s Medical Students are shown videos down to the finest detail.

One of my classmates in the Amphitheater recognized one of the nurses down below although capped gowned and masked, by a mole on the back of her neck with which he was familiar. He obviously was not contemplating the origin of the cystic artery after recognizing that mole.

I can only imagine what it is like to be a Medical Student with computers,
modern models and all of the teaching aids available today.

In spite of such advances in teaching doctors, we still get sick an average
of 12 times in our lifetime and get well 11 times.

Medicine will become a Science when patients quit recovering to the surprise of the Physician and stop dying unexpectedly and for no apparent reason.

Between you and me and the American Trial Bar, it ain’t ‘gonna happen!

PBJ