O God! I could be bounded in a nut-shell, and
count myself a king of infinite space, were it not
that I have bad dreams.
- Shakespeare
I woke up this morning with my pillow wet from tears. I have, in the past, woken up and then cried but never have I woken with tears coming from eyes. I couldn't believe I was capable of such a thing and I didn't understand why I had this reaction...all from a bad dream.
I was walking down a tree-lined street in a neighborhood that was run down. I imagined that at one time, this street was a beautiful family area with children playing in the yards. But now the yards were overgrown and the houses unkempt. As I was strolling, I saw a white bundle in the tall grass. Upon closer inspection, I found it was an infant, not making a sound and barely moving. I picked up the child and noticed that it was list and barely breathing. I screamed for help and a few people showed up around me. At that moment, I saw the baby's head was bleeding, his mouth had fallen open from lack of strength and his right eye had been enucleated. With its other eye, it communicated (because it could not talk) to help save him, that he was dying, that he was having a hard time breathing and that he was very cold. He started to bleed from the head more heavily and I yelled to get more blankets. I sat on the ground with the baby still in my arms and tried to provide more warmth by using my body as protection.
Suddenly I was in a hallway with a blanket warmer just in front of me. Still holding onto the child, I scooted across the hall, pried open the blanket warmer door and pulled blankets down. I began to swaddle the baby, my hands shaking in fear and screaming for help, applying pressure to stop the bleeding. The people that had gathered around turned into doctors, nurses, emergency techs, and hospital administrators. They all whispered at the same time, "no more blankets. He cannot afford it". It was then that I noticed no one was trying to save him, no was reaching for supplies, no one was running around. They were all just standing there, looking around at each other. I couldn't believe that no one was helping this innocent, defenseless child who was obviously trying to survive. I began to cry and futilely asked why no one was helping to save this child. I felt my chest trembling with pain and sadness and I felt the tears start to fall down my cheeks.
That is when I woke up and found I had been crying...in my sleep. The pain and sadness was so real that I couldn't wait to wake up and realize that it had only been a dream. I cried for another 20 minutes before I calmed down.
I tried to rationalize what had happened and began analyzing my dream to figure out why I had such a bad dream. I'll never know for sure.
Was it because we had 3 trauma calls yesterday at work that never came upstairs for surgery? Was it the panic I felt about being the only free person to respond to a trauma yesterday? Was it a reaction from the conversations we had the other day about our feelings when we get victims of guns shot wounds, stabbings, assaults, and especially babies or children? Was it a prophetic dream about the state of our hospital? Could it be that I'm just now releasing the repressed pain, anxiety, and stress of the cases we get in the operating room at this trauma hospital?
I don't know.
All I do know is that I have got to find a way to deal with all of this before I go insane.



