If Only

I think we’ve all experienced what I like to call “case envy.”  Or even sometimes, “shift envy.” You come on and your colleague immediately starts telling you about the interesting case, or the polytrauma, or the fantastic save/diagnosis/procedure that they just completed.

“Hey, bud, I just performed an open thoracotomy, cross-clamped the aorta and threw in a central line just after performing a cric while I was watching this guy’s aorta rupture during my ultrasound of his belly during which we lost pulses.  Sorry about the rest of the mess here in the ED, but those three pelvics and a disempaction might yield something interesting… Enjoy your shift!”


I sometimes hear the story and wonder what I might have done.  Would I have handled things the same way?  Is that the diagnostic approach I would have followed?  Would I even have considered things the same way?  Why don’t I ever get the cool cases…?

In residency, we had one colleague who was the perpetual “Black Cloud.”  Now, they got to see a lot of cool stuff.  However, you didn’t want to follow them because you knew it was going to be chaos in the ED when you arrived.  And, if you came before them, you knew the last part of your shift was going to start going to pot about an hour before the end of it.

So maybe it’s not so bad being a bit of a white cloud… but still… I think we all like to have a little something that gets the juices flowing, the mind working, a bit of “yeah for me” moment… After all, that’s why we got into Emergency Medicine… at least for me… how about you?

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