Dave and I exchanged the sort of information people often do with strangers on a plane. He was divorced. That was the bit of information I was after. He was having trouble moving on, feeling too old to date. I told him he needed to change his habits and put himself in situations where he might meet someone.Dave needed a boost to his self-esteem. Since I have a gift I feel it is my responsibility to use that gift to help others.I asked, “Do you have a smartphone?”He produced an iPhone. I was glad for that. It gave me confidence that Dave was not living in the dark ages.“May I?” I held out my hand.He let me have it and I checked that it was locked with a passcode. That was good. Dave was surprised that I could access the camera without unlocking it, so I showed him how easy it is. Then I asked if he ever took selfies.“No, but my daughter often does.”I took a couple photos of myself. “In case you want something to remember me.”Dave was expecting me to hand his phone back but I took. She's had several shocks andan Amiodarone load. It's refractory. There's nothing we can do."Refractory, in this context meant resistant to treatment. Her heartwas not responding to our efforts to reset it. To restart it if youlike. VT was short for Ventricular Tachycardia. In this casepulseless VT. Her heart simply wasn't pumping blood on its own.I had a thought."Dane," I asked of my airway nurse, at the patients head end. "Whatare her pupils doing?" Mid size and reactive," he announces, somewhat surprised, aftershining a torch in them.I turn to the two arguing Doctors, as if Dane's observation wasstatement enough.They stop their exchange and stare at me blankly. Clearly it wasn't."Don't you see? Her brain is still perfusing. It doesn't matter thatit's been thirty minutes. She's had a witnessed arrest and good CPRsince the outset. We need to put her on cardiac bypass, or evenECMO. We can still save her."Stanley scoffs out loud. "At 5am in the morning. Do you have anyidea of the.
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