Wednesday afternoon, 5 pm.
Ugh, the proverbial add-on.
Patient is a 4yo WF, 24kg, NKDA
3d h/o constipation, distension, pain, dyspnea.
CT revealed large mediastinal mass, tracheal deviation, large left pleural effusion, large abdominal mass.
Lethargic. SOB, requiring supplemental O2.
Sao2 92%. Tachycardic. BP low-normal.
Lytes nml, Cr 1.1, hgb 9.1
Ansley Faith, youngest of five children. Had
a tummy ache at school. Didn’t want her
lunch. Mommy picked her up early. Met daddy
in the emergency room.
Enemas, crying, pain.
No real answers, just really bad news.
Scared. So are her parents.
“I don’t want my little girl to die,” her daddy says.
Pt in Preop. PIV in place.
Needs port, left chest tube, and LN bx for definitive diagnosis
to decide on chemo. “Should be quick.”
Dad comes to OR with her. “We’ve got her.
Everything will be fine.” Dad leaves.
Drugs, ETT, surgery.
Waiting room heavy.
Parents and siblings and community anxious.
Eyes crying and speaking in silence.
Emergence. Patient in PACU.
VSS. HR normal. BP normal. Sao2 99%.
“Thanks for taking care of her.”
“You’ve got a long road ahead. I guess
you’ll be taking some time off work? Need me to
cover your call on Monday?”
She is sleeping. Breathing easier.
I know the details of what she has been through.
I feel her pulse.
I watch her breathe.
I hate cancer.
I love Ansley Faith, my sweet little girl.
Skip Nav Destination
Mind to Mind| August 2016
Accepted for publication February 3, 2016.
Anesthesiology August 2016, Vol. 125, 412–413.
- Views Icon Views
- PDF LinkPDF
- Share Icon Share
- Search Site
Matthew David McEvoy; The Add-on. Anesthesiology 2016; 125:412–413 doi: https://doi.org/10.1097/ALN.0000000000001081
Download citation file:
Citing articles via
Practice Guidelines for Moderate Procedural Sedation and Analgesia 2018: A Report by the American Society of Anesthesiologists Task Force on Moderate Procedural Sedation and Analgesia, the American Association of Oral and Maxillofacial Surgeons, American College of Radiology, American Dental Association, American Society of Dentist Anesthesiologists, and Society of Interventional Radiology