My First Patient
At that moment, I was truly a stranger in a strange land. Furthermore, I was a stranger confronted with a baby. I still do not know the first thing about babies, let alone ill babies. I subconsciously fingered my rifle as I looked at the listless child. Fully loaded rifle: 12 lbs. Undernourished baby: 12 lbs. Rifle: oiled and in full working order. Baby: dehydrated and malfunctioning. Price of rifle: about £400. Price of life for a baby: my water.
But in this arid land my water was precious – I wouldn’t have any more for a while. It was 30 degrees but the sun suddenly seemed hotter. I could feel the sweat trickling down my back under my body armour. With each rolling drop I resented the child more for unwittingly presenting me with an awful dilemma. My water bottle weighed on my hip like a guilty secret.
Deep down, however, only one answer. I pulled out my water bottle added a sachet of electrolites and handed it over. The father took it and, for a moment, as we both held the bottle, we were connected. He smiled and placed his hand on his heart. And in that moment, that clash of civilizations, I discerned hope – hope for the child and just maybe hope for the future.
This was a very moving piece that I did not expect to be classed under Emergency Medicine. The story told in the view point of a soldier shows how they still experience emotions even when forced to carry out orders. This can be compared to doctors or healthcare professionals in hospitals when they have to empathise with patients and understand their feelings. It could also be related to how doctors have to make difficult decisions for patients often having to consider ethics, bias and morality, like how the soldier has to choose between war (the gun) and life (water). He chooses to sacrifice his own provisions in order to help the baby get a chance at life, like how a doctor could be faced with poor mental health and an unhealthy work life balance while dedicating themselves to their patients and the NHS. This story really reminded me of the war and troubles in Afghanistan, how war, race and cultural barriers were overlooked by desperation and the basic need to survive.