Courtesy: Medical Miracles, from Readers Digest 1981.
November.
From the frontiers of science and the far horizons of
personal courage, these stories of medical triumphs and miracles will reaffirm
your faith in the awesome powers of the human spirit. Dramatic victories and
human triumphs.
Selected and edited by the editors of Readers Digest
It was a hot Philadelphia summer day, and the air in the old
Pennsylvania Hospital hung heavy and still.
I had been up all night in a vain fight to save a little girl from
meningitis. In reaction of her death I
was feeling completely disheartened. As
a young intern I had seen so much of dying in the past months that life seemed
fragile and meaningless. I was face to
face with cynicism. Faith seemed to
exist only to be mocked by death.
The first patient I was to examine that morning was a man I
shall call John Bradley. He was in his
late 40s, with deep-set brown eyes and a gentle face. During the few weeks since his admission his
condition had declined steadily. As I
looked through the window of his oxygen tent I saw that his lips were blue, his
breath fast and strained. I knew that
his heart had been weakened by rheumatic fever in his youth, and that in recent
years hardening of the arteries had taxed it even more.
I couldn’t help thinking of his wife, a small, white-haired
woman with a face in which the shadows of work and sorrow mingled with faith
and trust. She and her husband had
constantly looked to me for help. Why, I
thought bitterly, did they ask so much of me?
I went over Bradley’s medications again in my mind, hoping
to think of something new to relieve his suffering. He was getting digitalis to control his
failing heart, an anti-coagulant to prevent the formation of clots in its
damaged wall, and injections to help rid his body of excessive water. The amount of oxygen being pumped into his
tent had been increased. This day, as on
many previous days, I inserted a needle to draw off any fluid that had
accumulated in his chest. Still, when I
left him I had the feeling that all my efforts were fruitless.
Shortly after six o’clock that evening the nurse in charge
of Bradley’s ward called me to come at once.
I reached his bed within seconds, but already his skin was ashen, his
lips purple and his eyes glazed. The pounding
of his heart could be seen through the chest wall, and the sound of his breath
was like air bubbling through water.
“One ampoule of lanatoside C and start rotating tourniquets,
quickly,” I said to the nurse.
Intravenous lanatoside C would give the rapid action of
digitalis. The tourniquets would keep
the blood in his legs from circulating and temporarily relieve the failing
heart—but only temporarily.
An hour later Bradley began to breathe more easily. He seemed aware of his surroundings and
whispered, “Please call my family.”
“I will,” I said.
He closed his eyes. I
was just leaving when I heard a deep gasp.
I wheeled and saw that he had stopped breathing. I put my stethoscope to his chest. The heart was beating, but faintly. His eyes clouded over, and after a second or
two his heart stopped.
For a moment I stood there, stunned. Death had won again. In that moment I remembered the little girl
who had died the night before and a wave of fury came over me. I would not let death win again, not now.
I pushed the oxygen tent out of the way and started
artificial respiration, meanwhile asking the nurse for adrenalin.
When she returned, I plunged the syringe full of adrenalin
into the heart. Then I whipped the
needle out and listened through my stethoscope again. There was no sound. Once more I started artificial respiration,
frantically trying to time the rhythm of my arms to 20 strokes a minute. My shoulders were aching and sweat was
running down my face.
“It’s no use,” a flat voice said. It was the medical resident, my senior. “When
a heart as bad as this one stops, nothing will start it again. I’ll notify the family.”
I knew he had the wisdom of experience, but I had the
determination born of bitterness. I was
desperately resolved to pull Bradley back though the curtains of death. I kept up the slow rhythmic compression of
his chest until it seemed so automatic it was as if a force other than myself
had taken over.
Suddenly there was a gasp, then another! For a moment my own heart seemed to stop. Then the gasps became more frequent. “Put the stethoscope in my ears.” I said to
the nurse, “and hold it to his chest.” I
kept pumping as I listened. There was a
faint heartbeat!
“Oxygen!” I called
triumphantly.
Gradually the gasps lengthened into shallow breaths. In a few minutes Bradley’s breathing grew
stronger and so did his heartbeat.
Just then the screen around the bed was moved slightly, and
Mrs. Bradley stood beside me. She was
pale and frightened. “They told me to
come right away.”
Before I could answer, Bradley’s eyelids quivered. “Helen,” he murmured.
She touched his forehead and whispered. “Rest, John, dear—rest.”
But he struggled for speech.
“Helen, I told them to call you.
I knew I was going. I wanted to
say good-bye.”
His wife bit her lip, unable to speak.
“I wasn’t afraid,” he went on painfully. “I just wanted to
tell you—“ he paused, his breathing heavier,”—to tell you that I have faith
we’ll meet again—afterward.”
His wife held his hand to her lips, her tears falling on his
fingers. “I have faith, too.” She whispered.
Bradley smiled faintly and closed his eyes, a look of peace
on his face.
I stood there, filled with a mixture of exhaustion, wonder
and excitement. The mystery of death was
right on this room. Could I, in some
way, begin to understand it? I leaned
forward and very softly asked, “John, do you remember how you felt? Do you remember seeing or hearing anything
just now, while you were—unconscious?
He looked at me for a long moment before he spoke. “Yes, I remember,” he said. “My pain was gone, and I couldn’t feel my
body. I heard the most peaceful
music.” He paused, coughed several
times, and then went on: “The most peaceful music. God was there, and I was floating away. The music was all around me. I knew I was dead, but I wasn’t afraid. Then the music stopped, and you were leaning
over me.”
“John, have you ever had a dream like that before?”
There was a long, unbearable moment; then he said, with
chilling conviction, “it wasn’t a dream.”
His eyes closed, and his breathing grew heavier.
I asked the ward nurse to check his pulse and respiration
every 15 minutes, and to notify me in case of any change. Then I made my way to interns’ quarters, fell
across my bed and was instantly asleep.
The next thing I heard was the ringing of the telephone beside my bed.
“Mr. Bradley has stopped breathing. There is no pulse.”
One glimpse of his face told me that death had won this
time.
Why, then, had the curtains of death parted briefly to give
this patient another few minutes on earth?
Was that extra moment of life the result of chance chemical factors in
his body? Or did it have a deeper,
spiritual meaning? Had his spirit been
strong enough to find its way back from death just long enough to give message
of faith and farewell to his wife? Could
it also have been meant to give a small glimpse of eternity to a troubled and
cynical young intern?
Whatever the meaning, and whether of not it had a purpose,
the incident made a deep impression on me.
This was my first step toward acceptance of certain mysteries as an
essential part of life. This acceptance,
the gift of a dying patient whom I could not save, put me on the road back to
faith.