It’s scary how our intensive care unit can go from nearly empty to a full house in a matter of a couple of hours. And how we can have patients who were in the same firefight, just on opposing sides, in hospital beds just a few feet away from each other.
Yesterday we received one U.S. Marine involved in a roadside bombing, as well as two Afghan detainees. They were all in the operating room at the same time, and they all three got admitted to the ICU together.
The Marine was a 21- year-old sniper, who even while intubated and sedated, wanted to know exactly what happened to him, and also what happened to the Taliban fighters he was engaging. His older brother, also a Marine, happened to be deployed as well. He let his little brother know that the two Taliban members were dead.
The older brother would not leave his younger brother's bedside all night, even politely refusing when we offered him one of our empty beds to sleep in. I'll never forget the way his eyes watered when I first led him to his brother's bed after diligently waiting outside during the surgeries. And I'll never forget how a mere couple of hours later they were bantering back and forth. The patient, being intubated and unable to speak, had to rely on pen, paper and hand gestures such as flipping the bird to communicate. The next morning, while helping hang some blood, I made the brother a cup of coffee. Often, nursing isn't just about the patient but taking care of the loved ones as well.
The Marine's commander came in for an update, and then asked about the other two patients that came in with the Marine. I assumed he meant other US Marines, so I told him they had probably gone to the ward. I didn't realize he meant the two detainees that we had. It's probably better that I let him believe that.
We've had detainee patients before, but never at the same time as American or British patients. While we are sworn to give everyone care no matter the circumstance, it was really hard last night. In the end, all of the patients received their medications, baths and were appropriately sedated for comfort. We have to remind ourselves that this is what separates us from them. This is what makes us better.
Although I don't wish any harm on anyone, it felt great to take care of one of our own last night.
Part 7 of a 13 part miniseries following the personal memoirs of a deployed soldier