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Vol. X, Part 1

The Head of Adonis
 
Hania Qutub
University of Illinois College of Medicine-Chicago
Class of 1996


I'm a veteran, yes,
 
Marisela Dominguez, M.D.
University of Illinois College of Medicine-Chicago
Class of 1993


Her Dilemma
 
Raúl Díaz
Newborn Screening Program
Illinois Department of Public Health

The Dance
 
Parminder Bolina
University of Illinois College of Medicine-Chicago
Class of 1995

The Healing Paradox
 
Caren Mangarelli
University of Illinois College of Medicine-Chicago
Class of 1996

traumatic
    The third year was over and the rest of medical school would be smooth sailing. Pediatrics was where I was going to end up but I wanted to give surgery one more try.
    Here I was a very cocky, overconfident all-knowing M4 finally ready to leave the U of I system after eight years. All I needed was 42 more weeks of clerkships and I was done. No more bureaucracy.
    When I signed up for trauma, I knew that it would be grueling. My friends had taken it before me and told me it was brain numbing, but was an unbelievable experience I could not pass up. Also, I knew my senior in surgery was going to be there in the summer and we had become very close.
    The first few calls were pretty uneventful: two uncomplicated GSWs to the flank, numerous MVAs, and some blunt head trauma. I could do whatever I wanted in these situations and I took full advantage: chest tubes, central lines, deep peritoneal lavages. The only action in the OR I had was cutting sutures and "water skiing." I wanted more OR time and I would get that in my next case and much more.
    It was a very quiet night. No traumas today. I had just finished my last rounds. It was 3 a.m. and I was ready for bed. I was getting my last sports fix from the TV when Sonja, my senior, came into the call room and started rambling about her man troubles to me until she got tired and faded into sleep.
    My head had just hit the pillow when I heard the overhead page "Trauma Team To The Emergency Room, Trauma Team To The Emergency Room." It never failed, whenever I sat down to eat or go to bed for the night a trauma would come. We both bolted upright and looked at each other and went back to bed. It wasn't official until the beeper went off. Thirty seconds later ............ I found myself in the elevator with Sonja descending into a new beginning.
    Trauma is fun. True, not to the patient, but the atmosphere is unbeatable even though I didn't have any real responsibility. The adrenaline I felt when I walked into the front room was like winning a championship, climbing a mountain, and sex rolled into one.
    I walked through the ER, smiled at Tracy, one of the nurses, and she gave my hand a squeeze. "What's up Joanie?" (she was the head nurse). "Gun shot to the belly in a street fight. Glasgow of 13 and he'll be here in 5."
    I put on my worthless protective gown, gloved up, and walked into the trauma room. "Good morning," I facetiously blurted out to the eight people standing and waiting for our man. In the room were the attending surgeon, attending ER doc, three nurses, Sonja, me, and two M3s. Being a third year sucked in this situation. Their role: scissors off the patient's clothes, stick their finger in the patient's ass, and if you're lucky put the foley in place. My role is to avoid getting in the way and to do any procedures I can get my hands on.
    Our man arrived in five minutes. He was a man mountain. About 6'7" and 300+ and to make matters worse he was thrashing around.
    It is a spectacular sight to see a trauma team at work. Nurses on each arm trying to find a vein. One in the corner trying to catch everything the doctors are saying and writing it down. The M3s "joyfully" cutting off the patient's clothes and trying to hold down the patient before the drugs take effect. I can still vividly recall holding onto a patient's legs, losing my grip, and catching the size 12 right in the face. What memories of a U of I grad. The physicians working from head to toe, remembering their ABCs and screaming out commands.
    The man's face was bloodied and bruised from the fight. On survey of his whole body, we found a tiny little entrance wound about the size of a life saver and no exit wound. All I could think about was: could I ever get so mad at my brother to pull out a gun and fire? I was at the patient's head when I had my little absence seizure. I awoke to the piercing voice of my attending in my face asking if she had to intubate the patient. I had missed the continued workup of the patient and stood there with the blade in my hand and the endotracheal tube on his chest. I placed the tube in praying to God I didn't intubate the esophagus and we rushed the patient to the OR.
    The problem was that as we were whisking the patient away another trauma was called and the senior resident had to stay to work on that case. The attending said it was a pretty easy case and she would be okay by herself. That means I would be first assisting on the exploratory laparotomy!!! My mind was racing and I was extremely "pumped" but I could feel my hands getting very clammy and my stomach doing little flips. Again, I knew I was not going to be the responsible party in the surgery but this was the most responsibility I had had in my first three years.
    The patient's blood pressure was stable after he had received about two units of blood and lord knows how much IV fluids. He was wheeled into the room by the anesthesiologist as we scrubbed. I smiled at the attending as I scrubbed with the M3. He was an intense individual and very jumpy. It was his first OR case and he was way too excited. Surgery was his goal in life and he didn't want to look too clueless in front of his attending. He was mumbling about the eight layers of the abdominal wall while he watched me scrub. Was this me as a third year? I don't remember feeling that excited about my first operating room experience. I found it pretty boring after the first five minutes and knew that I couldn't see myself in general surgery next year. However, maybe if I could make it through the five years of general surgery training and be able to do trauma surgery, things would be different. I loved it as much as I loved pediatrics. I didn't know that in about thirty minutes my career plans would change.
    There is a very powerful feeling that all surgeons must feel while they are being dressed by the scrub nurse, or it could be just me. But I felt omnipotent as I slid my last glove on and started to enshroud "my" patient with dark blue sheets.
    Then came the magical words. "Okay Dr. Chad go ahead. I'll stop you when you start to examine the bowel for injury. Remember the bullet is sitting under the liver but we'll cross that bridge when we come to it." Our car went off that bridge.
    I looked up to see if she was serious, and she was. I started to shake as I had the scalpel in my hand. I always try to imagine the perfect end result of any task I begin and that usually calms me down. I saw my man's face looking at me while he was shaking my hand for saving his life.
    We got into the abdominal cavity without a hitch and I started to gain more confidence as I started to run the bowel to check for damage. She took over for me and I could see from her eyes that she was smiling under her mask.
    A small nick in the small bowel was easily repaired and now we moved to the liver. One maneuver of the liver and the anesthesiologist said the BP was dropping fast. As soon as those words crossed the room, I saw a gush of blood and I instinctively reached to plug it. Both my hands were in his belly and I was literally elbow deep in his blood. My attending screamed for someone to call the head surgeon of the trauma unit for assistance. We cross clamped anything and everything but time was slipping away.
    I could feel myself slipping away. It was like a nightmare. Time was passing so slowly. Nothing seemed real to me. I had this blank stare on my face and I looked up to see the same look on the M3's face as I saw him drop to his knees and vomit. The attending probably called us worthless about 200 times before the second attending came in to "save the day."
    I have never felt as helpless as I did for those thirty minutes. They finally found the bullet. It had taken a gigantic hole of the inferior vena cava and part of the aorta, but the holes were miraculously clotted off until we destroyed those clots. He was dead in thirty minutes.
    The adrenaline was gone, my body was soaked with sweat and I wanted to cry but didn't dare while anyone was watching. I had never actually seen a patient die. Sure, I had patients who died but they had died in the night when I wasn't there. I knew that in my care some of my patients would eventually die and I would be in the same predicament again. I felt this experience would make me a better physician but I knew that trauma surgery not for me. Most trauma units save 95% of the people they encounter; however, deaths like the one I had just witnessed were overwhelming and it felt like a part of me had died with him. I knew that trauma was the only surgery field I truly enjoyed but in the long run that lifestyle would eventually turn me into a burned-out bitter man.
    Chad the pediatrician finally got to cry as he sewed up the patient alone and waited for transportation to take him to the morgue.
Chad Olsen, M.D.
University of Illinois College of Medicine-Chicago
Class of 1993

The Four Seasons of AIDS
 
Stephen C. Verral
Research Specialist, Genetics
University of Illinois College of Medicine-Chicago

Enlightening Words from the Doctor
 
Mark Friedman
University of Illinois College of Medicine-Chicago
Class of 1996


Laura Cibul
University of Illinois College of Medicine
Class of 1994

In Memoriam
 
Juanita Redfield
University of Illinois College of Medicine-Chicago
Class of 1997

Transformation
 
Michelle Steele Rebelsky
University of Illinois College of Medicine-Chicago
Class of 1994



Dirk Steinert
University of Illinois College of Medicine-Chicago
Class of 1994

Tinkering
 
Mimi E. Van Der Leden
University of Illinois College of Medicine
Class of 1996

dare
 
Pamela S. Greenspon
Northwestern University School of Medicine
Class of 1996

If I Were Marilyn
    Why? Why? Why did this have to happen to me? For a few moments of pleasure and passion. The passion — the pleasure. Five minutes wasn't worth it. Not for a lifetime of pain, and what is a lifetime now: a few more months, a few more years? And will it have any substance, any quality? All it took was a condom: a stupid piece of latex. But all I took was a venture into unprotected sex. A teen — an adventurer. But no pioneer. Just one more person walking trails mapped out before. Those dark trails — trails of curiosity. If only I knew. If only I thought. If only I questioned. If only there were a cure. AIDS ain't no joke. It sounds like a message for help. But it leaves you in a state of despair.
    When I speak to teens. It's nice to pass on the message, and it's great to be hugged and to be listened to. I don't want anyone else to go through what I have gone through because I hit a brick wall, but I have to keep moving. Marilyn has to move. I have to get out the message. I have to be me. Marilyn of spunk. Marilyn of joy. Marilyn of courage.
    When I was in church, I found the courage to stand up and tell the tale. It was grabbing me real, real bad. The choir was singing. And I kept itching down to my soul almost. And though it was hard telling, it was even harder holding it in when people kept thinking bad things about me. It's hard to face the fact that I do have full-blown AIDS. But full-blown hopelessness? — full-blown helplessness? No! Not me. I have to keep pushing 'cause God keeps me going. Thank you, Lord. You know I'm available.
    When I wake up in the morning, and I look healthy and feel good. It's a triumph. I can wash up, put on my makeup, and look like anyone else. Sometimes, when I look into the mirror, I can't help but say: girl you sure look f-i-i-i-ne. And I smile, and I thank God, and I wonder for how long. How long will I fit in? How long will it be before I look like a wreck and people start asking: "Does she have AIDS?" I mean a lot of people already know. But I feel good being in control. I tell them I have it. I keep some freedom — some dignity. But if they see it, and they say, "she must have AIDS" they won't even want to shake my hand. They'll see a weak hand, a sick hand. No pioneer just another traveller down a crazy path. Just another one of those sex-crazed people who deserved what she got. And when that happens I won't be as accepted, as loved, as appreciated. So I work out a lot. I don't want to shrivel up. I don't want to be a prune, a raisin. I'd at least like them to be able to say: "Don't she look natural?"
    I've never been sick in my entire life until this AIDS set up shop with PCP. A pneumonia that says more than: you've been a bad girl Marilyn. It came to me like death. Like a thief in the night saying: "Marilyn, I'm no play thing. I'm the real thing." The news hit so suddenly. Just what is HIV? What is the "H", the "I", the "V"? And when they explained it. They looked like there was no hope in their eyes. No hope for AIDS. No hope for Marilyn. But I hope AIDS dies dead. Die dead! Die dead! Die dead! And it seems like everyone else wants Marilyn to live. And I thank God for that too.
    I've found myself having a lot of support — a lot from my family and from friends of past relationships. And the best of all is God. When no one else is around, I talk to Him, and he answers. No one else can give me as much comfort as I've gotten from talking with God. At times, I wonder about everybody. Why do they want to be involved? Why do they want to go out of their way for me? I guess I would do the same for them. Or would I? Would I say: "It's your problem. Handle it yourself!"? Would I push them away? But with AIDS, you need help. You need support. I need support. You have to tell somebody. I have to tell somebody. And you have to tell the truth. You have to tell the truth for the right kind of peace. You have to be fair to yourself, and you have to be fair to people with AIDS. Because the truth is that I don't have long to live. I don't know when I'll die. And I have to let people know that, if you shook my hand and I had lung cancer, you wouldn't get cancer. And if you shake my hand now, I have AIDS. Marilyn has Acquired Immune Deficiency Syndrome. And you, and you, and you, won't get it. You don't need a condom for a hug, a glove for a handshake. You don't have to step away to love me. Because, for me, that's not love, that's fear and shame. I don't have time for shame and fear. I mean I'll deal with your shame and your fear. But I don't want to feel the fear or any shame. It's not easy for me. I'm scared. I feel as if I'm living on AIDS time — absolutely uncertain time. God, please keep helping me along the way. Please keep me strong. Please keep my family strong. Please keep my friends strong.
    I try to keep smiling. I try to keep up as much courage as I had before. But I have to keep facing the fact that things have changed. I like to run free. I like to be who I am and the best of what Marilyn is. But Marilyn is tainted. I'm tainted. I have to struggle to stay out of depression. I have to struggle to stay out of sickness. I have to keep focused on as much of life as I can. And only God and I know how hard it is.
    It would be so much easier to love God and be with God and have all my strength. Have all my joy. But I've found myself having to buy joy. I bargain for joy. I ask God to keep me healthy one more day. And I promise to give one more day to Him. I know it sounds like a game. But it's life when you have AIDS. Or is it really another part of death.
    I could keep thinking about the coulda, the woulda, the shoulda. What should have happened. But in the end I just thank God for life and keep on. Thank you, Lord, for one more day.
Vincent L. Johnson
Loyola University Stritch School of Medicine
Class of 1993

Irreparable care
 
Wally Verdooren
Development and Alumni Affairs
University of Illinois College of Medicine-Chicago
Second Place

Cancer
 
Gregory S. Bussell
University of Illinois College of Medicine-Chicago
Class of 1996

Unification Yet Depersonification
 
Nipa Shah
University of Illinois College of Medicine-Chicago
Class of 1994



"Wake up and smell the roses";
Stay awake and drink coffee-it's going to be a long night
(and an even earlier morning).
The best years of our lives-
Here today, gone tomorrow.
What if tomorrow came before today?
Let's go for a walk and visit Thoreau's pond or Emerson's Nature.
        Let's study and maybe pass a class- you only need an MPL.
                (Only an MPL might kill someone.)
Stay collected-
Entropy is the natural state of the universe
And I'm experiencing it now.
"Just Say No."
To be passive is to be DEAD.
Walking away can solve just about nothing-
Stay awake and smell passion.
Passion for excellence, for truth,
But not to be average and NOT to be passive.
I too hate "Robin Hood"
Take from those who can,
Give to those who won't. Don't tell me how to live.
Vote Democratic- but don't ask "Who is John Galt?"
Become cold to emotions- all Docs are.
Emotion serves to interfere with rational thought.
How can one deal with victims of moral crimes
If one is caught up with emotions?
Don't be passive.
Emotions are ugly.
Emotions keep one from reaching higher goals.
Emotions keep us human.
Promote life. Perform abortions.
Save them from the end,
Only to pronounce us dead (and them).
Go on: Seize the grave.
Anonymous

Teacher
 
David Knox
University of Illinois College of Medicine-Chicago
Class of 1996

The Heart
 
Caroline May
University of Illinois College of Medicine-Chicago
Class of 1997


Serial
Killer
 
The last time we talked, I was quite angered and sad,
Strange, considering that you've given me things princes never have
But you're destroying a person I care about very much,
Someone whose heart I've tried my best to touch
Most would accuse you of murder, and I'd have to agree,
For as you commit this awful crime, you also hurt many others, one of them me
Using food as your weapon, you cause great pain and distress,
Victimizing yourself, in addition to those who love you the best
So before continuing along on your deadly rampage,
Stop and consider all the hardship your habits create
Give yourself up by putting an end to these grizzly crimes,
Learn to respect your life and take some of the fear out of mine
Although much like a serial killer, I'm still proud to call you Dad,
Surely the best father anyone but my brother has ever had
Craig Kornick
University of Illinois College of Medicine-Chicago
Class of 1996

Tonsillectomy
 
Vicki S. Knight
University of Illinois College of Medicine-Chicago
Class of 1994

Snippets — From grandpa
I got there 20 minutes early
Signed in
2 hours later I asked when
The Doctor would be in
Check downstairs
They're running late
Go back upstairs
Sorry—we called your name
You weren't here
Please reschedule for another date.
**********
Something's amiss
It's just not right
But should I call my doctor
On a Saturday night??
**********
I went to the Doctor's office
I had a list
I had wax in my ears
And glass in my finger
I went to the Doctor's office
I waited 3 hours
I told her about my ears
And showed her my finger...
I left the Doctor's office
I had some referrals
I had wax in my ears
And glass in my finger!
 
Michelle Steele Rebelsky
University of Illinois College of Medicine-Chicago
Class of 1994

From nothing
 
Wally Verdooren
Development and Alumni Affairs
University of Illinois College of Medicine-Chicago



Vibha Sabharwal
University of Illinois College of Medicine-Chicago
Class of 1996


ACKNOWLEDGEMENTS

Back in September, we had entertained the idea of publishing an all-star journal this year, including the best of Body Electric from past issues to celebrate ten years of existence. However, we soon had in our hands more prose and peotry than ever before. It was then evident that the strength of this year's selections would not only fulfill this literary magazine's purpose of providing a forum but would also reward its readers. Thanks go out to all writers, poets, and artists. We would also like to thank Suzanne Poirier for her management and guidance. Much appreciated as well is the secretarial work of Bernice Coleman and our judges, Robert Molokie and Hyman Muslin. Finally, congratulations to the prize-winners, whose pieces we are proud to present.
Editors:    S. DAVID LO
                    College of Medicine '94

                    NIPA S. SHAH
                    College of Medicine '96

Advisor:   SUZANNE POIRIER, PhD
                    Department of Medical Education