I dream that there has been some sort of significant disaster. In the dream itself, we all know, but the exact cause and source is hidden to me as a dreamer; there is simply too much for my dream self to deal with that it never comes up.
I do know, from the setting of the dream, that I am a med student, and I am with a quite large group of people who are taking shelter/refuge in a municipal building, most likely a high school or a middle school judging by how the building is interconnected, with few entrances, and the large cafeteria where I am waiting when all of the dream occurs.
I am sitting on one of the tables, talking sporadically but mostly listening to the conversation around me, when suddenly a group of people burst through the door to the cafeteria from the outside. They are carrying with some difficulty a man, who is bleeding through a large stab or impalement wound on his abdomen, four inches or so beneath his solar plexus, and from smaller wounds to his left side. The people are dirty from being outside; as I assess the situation and rush towards the group, my waking self recognizes that a thick dust hangs in the air, swirling now that the wind brings it in. I yell for gloves, worried in the back of my mind that the man might have a blood disease, even as I strip off my coat and begin to apply pressure to the wound, even as I recognize that I may never have the luxury of worrying again.
I yell for someone else to bring boiling water, and for others to clean off as much of one of the tables as they can, which only amounts to pouring hot water over it and wiping away as much dust and dirt as possible. As I put pressure, waiting for a table, someone brings me cafeteria gloves, the kind that are little more than sandwich bags. I yell for "Latex gloves, I need latex gloves," and another person runs up. They tell me that they've called the hospital, which has promised to send an ambulance as soon as it was able, but the dispatcher asked that if there was any medical personnel on hand. The person mentioned me; I'm not a doctor. I'll have to be. I have to at least try to stop the bleeding or the man won't live long enough for an ambulance; I'm the only one who can try.
Many hands - someone, finally, has found latex gloves - lift up the man onto a table while I examine the few tools we can find. There isn't power in the building, or even in the neighborhood; we make the best we can do with flashlights and a headlamp on a headband they give to me. We hang sheets around our impromptu surgical center to try and keep it as clean as possible, and I go in with thread and a needle, trying to close the wound, to cauterize the bleeding, to restore the damaged arteries. At one point, an hour or more in, I realize that the ambulance isn't coming, and that if this man has any chance of surviving past this point, it will have to be up to us, and maybe that won't even work. Maybe the hospital never had any intent of sending an ambulance. Maybe they just can't.
A distinct part of the dream stands out at me: some point in, the man has to use the bathroom. I am afraid of fecal matter sitting on the operating table; I am worried about it getting into the wound, where the holes have gone out the back, because I won't be able to give him more than the basics - aspirin - when it comes to fighting off infection. We didn't plan for this; the ambulance was suppose to come before this. Instead we part the tables slightly so that he can go between the gaps. No one has any better ideas. We have hung a sheet over his body, with only a square cut into it to view the actual surgery area, trying to keep as much dust out of the wounds as possible. I am right over it, looking in, my tools set aside as my hands are free. I watch as many gloved hands come into view, sliding under his body gently: we will try to all lift at once, to move him so he doesn't move himself, so that the wound doesn't stretch and tear and reopen. Someone has put a janitor's bucket underneath the gap, a large white five-gallon bucket that used to hold soap or paint or some other thing. I see it through the gap even as I watch his wound, terrified. But it goes okay, and we just leave him there, his butt over the gap, hoping it won't have any effects, hoping that this was the most delicate part left to figure out, that nothing else happens.
Finally I finish the surgery. It looks okay so far: I think I have everything I can do, and all of the holes are stitched up, the thread ugly and dark against the puckered skin of the closed wound. I am exhausted; now that I'm finished, my hands shake uncontrollably at my sides. I sit down, pulling the bandanna off of my lower face, feeling my hair flat against my forehead and the sweat beaded against the headlamp's band. Everyone congratulates me: they clap my shoulders, they joke. I smile weakly, but I know that the man isn't out of the clear yet, not until I can be sure he heals well. And because I know we're not out of the clear yet, none of us, that this? This...
This is just the beginning.
Nothing will ever be the same.
I do know, from the setting of the dream, that I am a med student, and I am with a quite large group of people who are taking shelter/refuge in a municipal building, most likely a high school or a middle school judging by how the building is interconnected, with few entrances, and the large cafeteria where I am waiting when all of the dream occurs.
I am sitting on one of the tables, talking sporadically but mostly listening to the conversation around me, when suddenly a group of people burst through the door to the cafeteria from the outside. They are carrying with some difficulty a man, who is bleeding through a large stab or impalement wound on his abdomen, four inches or so beneath his solar plexus, and from smaller wounds to his left side. The people are dirty from being outside; as I assess the situation and rush towards the group, my waking self recognizes that a thick dust hangs in the air, swirling now that the wind brings it in. I yell for gloves, worried in the back of my mind that the man might have a blood disease, even as I strip off my coat and begin to apply pressure to the wound, even as I recognize that I may never have the luxury of worrying again.
I yell for someone else to bring boiling water, and for others to clean off as much of one of the tables as they can, which only amounts to pouring hot water over it and wiping away as much dust and dirt as possible. As I put pressure, waiting for a table, someone brings me cafeteria gloves, the kind that are little more than sandwich bags. I yell for "Latex gloves, I need latex gloves," and another person runs up. They tell me that they've called the hospital, which has promised to send an ambulance as soon as it was able, but the dispatcher asked that if there was any medical personnel on hand. The person mentioned me; I'm not a doctor. I'll have to be. I have to at least try to stop the bleeding or the man won't live long enough for an ambulance; I'm the only one who can try.
Many hands - someone, finally, has found latex gloves - lift up the man onto a table while I examine the few tools we can find. There isn't power in the building, or even in the neighborhood; we make the best we can do with flashlights and a headlamp on a headband they give to me. We hang sheets around our impromptu surgical center to try and keep it as clean as possible, and I go in with thread and a needle, trying to close the wound, to cauterize the bleeding, to restore the damaged arteries. At one point, an hour or more in, I realize that the ambulance isn't coming, and that if this man has any chance of surviving past this point, it will have to be up to us, and maybe that won't even work. Maybe the hospital never had any intent of sending an ambulance. Maybe they just can't.
A distinct part of the dream stands out at me: some point in, the man has to use the bathroom. I am afraid of fecal matter sitting on the operating table; I am worried about it getting into the wound, where the holes have gone out the back, because I won't be able to give him more than the basics - aspirin - when it comes to fighting off infection. We didn't plan for this; the ambulance was suppose to come before this. Instead we part the tables slightly so that he can go between the gaps. No one has any better ideas. We have hung a sheet over his body, with only a square cut into it to view the actual surgery area, trying to keep as much dust out of the wounds as possible. I am right over it, looking in, my tools set aside as my hands are free. I watch as many gloved hands come into view, sliding under his body gently: we will try to all lift at once, to move him so he doesn't move himself, so that the wound doesn't stretch and tear and reopen. Someone has put a janitor's bucket underneath the gap, a large white five-gallon bucket that used to hold soap or paint or some other thing. I see it through the gap even as I watch his wound, terrified. But it goes okay, and we just leave him there, his butt over the gap, hoping it won't have any effects, hoping that this was the most delicate part left to figure out, that nothing else happens.
Finally I finish the surgery. It looks okay so far: I think I have everything I can do, and all of the holes are stitched up, the thread ugly and dark against the puckered skin of the closed wound. I am exhausted; now that I'm finished, my hands shake uncontrollably at my sides. I sit down, pulling the bandanna off of my lower face, feeling my hair flat against my forehead and the sweat beaded against the headlamp's band. Everyone congratulates me: they clap my shoulders, they joke. I smile weakly, but I know that the man isn't out of the clear yet, not until I can be sure he heals well. And because I know we're not out of the clear yet, none of us, that this? This...
This is just the beginning.
Nothing will ever be the same.
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