Good Orthopedic Quotes

It so happens I am sick of being a man. And it happens that I walk into tailorshops and movie houses dried up, waterproof, like a swan made of felt steering my way in a water of wombs and ashes. The smell of barbershops makes me break into hoarse sobs. The only thing I want is to lie still like stones or wool. The only thing I want is to see no more stores, no gardens, no more goods, no spectacles, no elevators. It so happens that I am sick of my feet and my nails and my hair and my shadow. It so happens I am sick of being a man. Still it would be marvelous to terrify a law clerk with a cut lily, or kill a nun with a blow on the ear. It would be great to go through the streets with a green knife letting out yells until I died of the cold. I don't want to go on being a root in the dark, insecure, stretched out, shivering with sleep, going on down, into the moist guts of the earth, taking in and thinking, eating every day. I don't want so much misery. I don't want to go on as a root and a tomb, alone under the ground, a warehouse with corpses, half frozen, dying of grief. That's why Monday, when it sees me coming with my convict face, blazes up like gasoline, and it howls on its way like a wounded wheel, and leaves tracks full of warm blood leading toward the night. And it pushes me into certain corners, into some moist houses, into hospitals where the bones fly out the window, into shoeshops that smell like vinegar, and certain streets hideous as cracks in the skin. There are sulphur-colored birds, and hideous intestines hanging over the doors of houses that I hate, and there are false teeth forgotten in a coffeepot, there are mirrors that ought to have wept from shame and terror, there are umbrellas everywhere, and venoms, and umbilical cords. I stroll along serenely, with my eyes, my shoes, my rage, forgetting everything, I walk by, going through office buildings and orthopedic shops, and courtyards with washing hanging from the line: underwear, towels and shirts from which slow dirty tears are falling

I decided early in graduate school that I needed to do something about my moods. It quickly came down to a choice between seeing a psychiatrist or buying a horse. Since almost everyone I knew was seeing a psychiatrist, and since I had an absolute belief that I should be able to handle my own problems, I naturally bought a horse. Not just any horse, but an unrelentingly stubborn and blindingly neurotic one, a sort of equine Woody Allen, but without the entertainment value. I had imagined, of course, a My Friend Flicka scenario: my horse would see me in the distance, wiggle his ears in eager anticipation, whinny with pleasure, canter up to my side, and nuzzle my breeches for sugar or carrots. What I got instead was a wildly anxious, frequently lame, and not terribly bright creature who was terrified of snakes, people, lizards, dogs, and other horses – in short, terrified of anything that he might reasonably be expected to encounter in life – thus causing him to rear up on his hind legs and bolt madly about in completely random directions. In the clouds-and-silver-linings department, however, whenever I rode him I was generally too terrified to be depressed, and when I was manic I had no judgment anyway, so maniacal riding was well suited to the mood. Unfortunately, it was not only a crazy decision to buy a horse, it was also stupid. I may as well have saved myself the trouble of cashing my Public Health Service fellowship checks, and fed him checks directly: besides shoeing him and boarding him – with veterinary requirements that he supplement his regular diet with a kind of horsey granola that cost more than a good pear brandy – I also had to buy him special orthopedic shoes to correct, or occasionaly correct, his ongoing problems with lameness. These shoes left Guicci and Neiman-Marcus in the dust, and, after a painfully aquired but profound understanding of why people shoot horse traders, and horses, I had to acknowledge that I was a graduate student, not Dr. Dolittle; more to the point, I was neither a Mellon nor a Rockefeller. I sold my horse, as one passes along the queen of spades, and started showing up for my classes at UCLA.

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also enjoyed that the orthopedic surgeon was incredibly attractive, knew it, and had the swagger of a man who is very good at what he does and very well compensated for that work. That was Saturday.

When Felix came to this crossroads, the orthopedic shoe to drop wasn’t his. It was Bella’s. Year by year, I witnessed the progression in her difficulties. Felix remained in astonishingly good health right into his nineties. He had no medical crises and maintained his weekly exercise regimen. He continued to teach chaplaincy students about geriatrics and to serve on Orchard Cove’s health committee. He didn’t even have to stop driving. But Bella was fading. She lost her vision completely. Her hearing became poor. Her memory became markedly impaired. When we had dinner, she had to be reminded more than once that I was sitting across from her. She and Felix felt the sorrows of their losses but also the pleasures of what they still had. Although she might not have been able to remember me or others she didn’t know too well, she enjoyed company and conversation and sought both out. Moreover, she and Felix still had their own, private, decades-long conversation that had never stopped. He found great purpose in caring for her, and she, likewise, found great meaning in being there for him. The physical presence of each other gave them comfort. He dressed her, bathed her, helped feed her. When they walked, they held hands. At night, they lay in bed in each other’s arms, awake and nestling for a while, before finally drifting off to sleep. Those moments, Felix said, remained among their most cherished. He felt they knew each other, and loved each other, more than at any time in their nearly seventy years together.

The story was an 82 year old guy with a broken neck. He had apparently fallen in his bathroom that morning, cracking his 1st and 2nd vertebrae. I had a vague memory from medical school that this wasn't a good thing--the expression "hangman's fracture" kept bobbing up from the well of facts I do not use --but I had a much more distinct impression that this was not a case for cardiology. "And Ortho isn't taking him because?" I said wearily. "Because he's got internal organs, dude." I sighed. "So why me?" "Because they got an EKG." The MAO was clearly enjoying himself. I remembered he had recently been accepted to a cardiology fellowship. I braced myself for the punch line. "And?" "And there's ectopy on it. Ectopy." He then made a noise intended to suggest a ghost haunting something.

It wouldn’t be fair to say that my father had pushed me to become a doctor because he didn’t—at least not overtly. I had wanted to follow in my father’s footsteps from the very beginning. But ever since I was a child, he had very carefully nudged me in the specific direction of heart surgery by basically discounting every other profession in the world. He would say, “Son, what’s more important than keeping people’s hearts beating?” I thought I was so clever that once I had said, “What good is a beating heart without a functioning brain?” He had, of course, very quickly replied, “It’s as good as any beating heart. The important thing to note is that you can keep even a nonfunctioning brain alive as long as you have a beating heart. Doesn’t work the other way around, does it?” There had been about five minutes in my junior year of undergrad, when I had come home after reading about the use of power tools in orthopedic surgery, during which I had said to my father, “I think orthopedics is going to be my thing, Dad.” The next day he had brought home a trunk full of items from Home Depot and one extra-large cow femur bone. He then ran the cow bone over with his car in the driveway until it splintered, cracked, and broke in several places, and then he gave me a bag of tiny screws and bolts and a cordless drill. “Have at it, kid.” I had spent sixteen hours straight in the garage without so much as a drink of water. By the time I had finished, I was exhausted and thoroughly spent but proud of the fully assembled cow bone, which I paraded through the house. My mother was mortified and told my father he had created a monster. He just laughed from the couch, hollering back to me, “Looks pretty, but will it support sixteen hundred pounds?

The only sounds at the late hour were the faint jingle of a phone ringing in the nurses’ station, the ping of an elevator, the faraway sound of the wheels of a cart, and the gentle beep of Brandon’s vital signs monitor. They wouldn’t allow any flowers or personal items in the ICU, but Sloan had snuck in an engagement photo. It sat on the table next to the bed. Her and Brandon on the beach, the surf crashing around their feet, her tattooed arm over his shoulder, them looking at each other. Both of them laughing. I looked back at him and sighed. “You’re going to have some gnarly scars, buddy.” They’d started the skin grafts for the road rash on his arm. “But you’ll get to do everything you planned to do with your life. One of us is going to get the girl. I’ll help you any way I can. Even if I have to wheel your ass to the altar.” I could picture his smile. With any luck I’d see it in a few hours. A knock on the door frame turned me around in my chair. “Hey, cutie.” Valerie came into the room for her vitals check. She turned the lights up, and I stood and stretched. As if sleeping in a chair wasn’t hard enough, the activity every two hours was the final kicker. I wouldn’t call anything I did on these overnight shifts sleeping. Maybe napping, but not sleeping. Every two hours Brandon was moved. They checked his airways, changed out bags, looked at his vitals. I don’t know how Sloan was handling doing this almost nightly for the last three weeks. Sloan was a good woman. I’d always liked her, but now she’d earned my respect, and I was grateful Brandon and Kristen had her. “Did you decide what day you want to bring the kids to the station?” I asked Valerie, yawning. She cycled the blood pressure cuff on Brandon’s arm and smiled. “I’m thinking Tuesday. You on shift Tuesday?” “Yup.” She wrote down some notes on Brandon’s chart and then gave me a raised eyebrow. “Any updates with your lady friend?” I laughed a little. “No.” The whole nursing staff knew about my depressing love life. I’d gotten hit on a few too many times by some of the younger nurses. I couldn’t claim to have a girlfriend, and I wasn’t married, so it was either “I’m gay” or “I’m in love with that girl over there.” I’d gone with the latter, and now I wished I’d said I was gay. They didn’t know why Kristen wouldn’t date me, just that she wouldn’t. It had turned into the favorite topic of the ICU. A real-life episode of Grey’s Anatomy. I rarely got through a Brandon visit without it coming up. The drama escalated when Kristen had been hit on by the nurses’ favorite single orthopedic surgeon. According to the nurses’ gossip circuit, Kristen told him to go fuck himself. And apparently she’d actually said, “Go fuck yourself.” After that everyone was sure she was holding out for me. Only I knew better.

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