Wednesday, March 20, 2019

The Day the Surgeon Cried


It was an experience that no one could ever forget unless of course the shock of it made total repression the only real choice.
I was a student nurse at the time - not yet out of my teens - and I was lucky enough to be training in a major Manhattan Hospital. I was back for another few weeks in the Operating Room, having chosen this specialty for my senior rotation. On this particular date, I’m working the evening shift which typically is not a terribly busy time in the OR as all the scheduled surgeries are over for the day.  Basically, it is a time to do peripheral, preparatory type tasks and be physically present in case of an emergency. My OR instructor was with me this particular evening. I remember she had a rather strong foreign accent, an unusually mousy appearance and a nurse's cap that looked like a pleated upside-down cupcake holder.  She also exhibited some rather atypical mannerisms that gave her away as a woman from another country.  She she was quiet, serious and smart as if she were still trying to prove her worthiness in this country.   I really liked and respected her.
In the midst of the quiet, we suddenly got a call to set up for an emergency cardiac surgery.  A woman who had cardiac bypass surgery earlier that day was experiencing problems and was being brought back to the OR.  I remember the massive amount of surgical instruments we quickly assembled; every imaginable tool that could possibly be needed was laid out meticulously on the tables. The complete set up was configured in a large L shape and we stood ready to assist with anything the cardiac surgeon required.
I remember feeling very relieved that my instructor was present and appeared to be in control as I definitely lacked the experience to assist with such a complicated emergency. We were prepared and ready for anything,  or so we thought.
A loud commotion ensued as staff members, including the surgeon, crashed through the OR doors dragging the gurney alongside them. There wasn’t time to transfer the woman from the gurney to the OR table, so the physician began immediate emergency measures right there and then.  Drugs were administered directly through the freshly created breast bone incision and external cardiac massage and electrical shock were applied.  The cardiac surgeon worked frantically to bring his patient back from the brink of demise. Clearly I could see the anguish, the distress, and the desperation that flooded his face as one thing after another failed to get the desired results. His patient was slipping away and there wasn’t a damn thing he could do to stop it. I felt helpless. My calm, highly competent, and completely prepared Instructor stood helplessly at my side. All our attention to detail, all our perfectly arranged tools, all our correctly lined up medications, were absolutely futile.  The Surgeon yelled for a scissor, quickly cut open her sutures, grabbed her heart into his hands and began to pump it manually.  He literally held her heart in his hands, but to no avail.   When the realization finally sunk in that nothing he could do was going to make her live, he stood there and cried.
Being a young student nurse, I wasn't responsible for anything more, other than the clean up of this area of the O.R.  I did not envy him, having to tell the family of this 35 year old mother of 5 that their beloved had died.  
Addendum: This real life incident occurred in 1964-1965 when Open Heart Surgical Intervention was in its' infancy.  St. Vincent's Hospital and Medical Center in Greenwich Village, NY had also recently instituted something called a Code 99, basically a "crash team" that would spring to action when a patient unexpectedly arrested.  I do not recall a Code 99 being called that particular night. I do not recall the Surgeon's name although I can picture him in my mind.  The nurse at the top pf this Blog entry is my Surgical Instructor, Ms. Danute Mikulskis, R.N, B.S.

8 comments:

  1. Very moving, Mary Beth. I always marvel at the composure, strength and compassion of medical professionals amidst such dire circumstances. You were a mere child amongst this awful havoc. I’m
    sure it had a tremendous impact on you and made you a better nurse. So many lessons learned at that moment. Thanks for posting.

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  2. I am a St. Vincent's Hospital School of Nursing Alum that worked at SVH for my career until it closed in 2010.
    The event you describe rings so true to me as a member of the Trauma team 8p-8a. We saw it all. Including becoming the Command Center 9/11/2001.
    You couldn't have picked a better place to get your Clinicals bc you had opportunity other nurses never experience.

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  3. Wow! That truly is an incredible story. Thank you.

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  4. I do remember Danute. Quite an experience Mary Beth

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  5. Excellent story. I never saw a doctor cry in my nursing career.

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  6. Nice story!
    I graduated in 1994 from this prestigious Hospital's School of Nursing, and worked in Cardiothoracic unit until they closed the Hospital in 2010. I saw great and dedicated surgeons, and I am so grateful that I got to know them.
    Each of them had different styles, but us, the nurses, respected each and every one!

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  7. From one nurse to another, these are the experiences that shaped us and made us excellent and compassionate nurses. Thank you for sharing this, MB.
    Julie

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