Operator, can you help me, help me if you please.
The thing that I remember most about Sunday night in the emergency room was how gradually intense the scene got and how slow I was to understand the damage I’d done. The whole evening was surreal and overwhelming, and I’d like to first take a moment to thank the E.R. staff at Fremantle Hospital for their care and compassion. Those guys rock.
The triage nurse sat in front of me in the emergency room lobby, asking questions about my head, had I blacked out, when had I last eaten, what time did this happen, where are you from? She seemed to focus on my head and every time I’d answer her questions I’d follow with a comment like, “I’m much more worried about my elbow…” “What are you doing in Australia, how long have you been here?” Please, just look at the elbow! As she was wrapping my head in a bolt of gauze, I could see that my arm was still bleeding, and that drops of bright red blood had trailed in behind me from the door.
All the while my arm was getting worse and worse. It hadn’t started hurting until I was in the car – an adrenaline effect, I’m sure. Now, it would tense up and seize every few minutes; if I concentrated I could stop it, but it took a lot of effort.
Eventually the nurse asked me to sit in the waiting area; soon I would be called inside. There were a few people in the lobby, and all of them were trying politely to not stare. I overheard one of the nurses say something about me qualifying for “fast-tracking”, which I assumed meant that it wouldn’t be a long wait. Good – Freo hospital is a big, bustling hospital and I was anticipating I’d be competing for attention with drunken sailors, bogun drivers and deadly snakebites. Daniel was sitting with me, and I asked him to tell Kate and Pete about the tickets I had left for them. I gave him my wallet and house keys – I don’t know why – and within ten minutes a nurse came through the doors calling my name.
They put me in a bed and, pulling a curtain closed, told me to rest. I could hear next to me a little girl crying. Machines were beeping, and voices drifted back and forth beyond the drapes. I really hate hospitals. Aside from babies, nothing good comes out of them. I’ve never had to stay in one, but my sister was in and out of them as a kid, and the tinny sounds, the sickly odour of hospital food and iodine, the badly lit pastels of cement walls… they take me to some unpleasant places. And there I was, shrouded in mint-green sheets and white noise.
Before long the triage nurse came back, bringing another nurse with her. She explained that the new nurse was going to coordinate my care, organise x-rays and such. She related to the coordinator my details, and before disappearing through the curtain, she gave me a worried smile. “You’re very brave,” she said. Her accent was slightly British, and I almost laughed at her – how can I say this? I felt like a character out of a Winnie the Pooh story. Just from the tone of her (very kind and sincere) voice, I half expected her to return with tea and scones.
The Coordinator Nurse examined me again, asked a few questions – was I ever unconscious, when did this happen, when had I last eaten, where was I from, how long was I here for? She explained that soon I would be sent for an x-ray, possibly a CAT scan, and she would try to engage a surgery team as soon as possible. Surgery? I thought. Team?
She left, and in came a third nurse. She bustled about, checking my dressings, taking notes. Was I ever unconscious, when did this happen, when had I last eaten? I was focusing on keeping my arm from shivering out of its skin. She was busy at the station behind my head, and she stopped suddenly and turned to me. “Have you been given any medication?” she asked.
“No.”
“Are you in pain? You must be in pain.”
“Umm, yeah, a little.”
“A little!” she snorted. “Would you like some drugs? I can give you drugs, sweetheart, but you have to ask for them. Do you want medication for the pain?” This feels very philosophical, very melodramatic…
“Yes, please…”
“Right! Morphine it is.” She gave me a dose, not too much, but for sure I could ignore my throbbing elbow after that. “Now,” she said. “Let’s get you undressed.” Uh, what? “You can’t go into surgery dressed like that, honey.” Oh. Sure. Probably not a good time to be shy. Together we gingerly peeled my clothes off, stripping me down to just my bra and panties.* My mobile phone clattered out of my pocket. She stashed the clothes in the console under the bed, and pulled a sheet over me; she handed me the phone. “You’ll probably want this.” I am naked in a hospital, clutching a phone. This is new.
Soon Coordinator Nurse wheeled me to the x-ray room; a handsome fellow set about manipulating my arm under the crosshairs of the camera. He asked me the same questions: When did this happen, where was I from, what was I doing in Australia, how long was I here for, what did you say you’re studying, Implant Pathology? I’m naked, was all I could think. I overheard the technicians whistle at the film. “Yeah, that’s dust,” they said.

- this is what a normal elbow looks like

- *poof*

- *crumple*
Next I was delivered to the CAT scan room. It took some body wrangling (naked! Naked!) to get me and the arm positioned in the tubular machine for the image. “You’re going to hear a voice tell you to hold your breath. It’s American, you’ll probably feel at home.” Yes, when I think of Mom, robot body scanner is exactly what comes to mind. They left the room and the machine began to spin. “Hold your breath!” commanded Mother. Twenty seconds later, “Breathe!” Yes ma’am.
When they returned me to my bay, Nurse Three was waiting for me. I asked if there would be time to make a phone call. Yes, she said, go ahead. It would have been about three a.m. in Georgia when I rang my parents. I considered briefly how best to start this conversation. I hoped that my dad would pick up. The phone rang four times, and I hung up before the answering machine could answer. I rang through again, and my mom picked up on the third ring, obviously half-asleep and confused. “Mom, it’s me.”
“Who?”
“Mom, I have to talk to you, I need you to wake up.”
“Uh…”
“Mom, I’m in a hospital, I’ve been in an accident. I have to have surgery.” She groaned, and I could hear the panic that she couldn’t vocalise. “Do you want me to talk to Dad?”
“Yeah…”
“Okay, give the phone to dad.” Dad took over, and I repeated myself. “I’ve been in an accident, on my bike, I think I’ve broken my arm badly, but I have to have surgery. I have to go under.” I instructed him to call Daniel at home; we were stuck on telephone numbers when another handsome man (naked! Naked!) walked into my bay. “Dad, I have to go. I’ll try to call again, I love you.”
The man was my surgeon-to-be. He took a long, slow, deep breath before explaining my condition to me. My humerus (upper arm bone) was fractured at the distal (bottom) end quite badly. The olecranon – the bony knob of the elbow, which comes off the proximal (upper) end of the ulna (one of the two lower arm bones – was pulverised. All the bony bits between the major bones were also shattered. Maybe the radius (the other bone of the lower arm) was intact, it was hard to tell from all the debris. The cut on my arm exposed all those fragments of bone to the world, and left me open to infection. “There is about a six-hour window between an incident and surgery before bone infection is likely. We will be cutting very close to the deadline to get you into surgery.”
“Okay.”
“You must understand this is a very serious injury. I’m not sure what we can accomplish. Do you understand how serious this is?”
I was starting to. “I understand.” He recited the dangers of surgery and anaesthetic, and asked me to sign a consent form. He awkwardly squeezed my hand and left.
After he left, Nurse Three returned with a fourth nurse sporting an Irish accent. Irish Nurse would prepare me for surgery by scrubbing the nail polish from my toes and removing jewellery. She asked if I had any other jewellery on than my three earrings (which were put into a pee cup). “No”. “Are you sure?” she asked. “Yes, I… I think so.” Three days later I would realize that I had left a little silver stud in my nose. Hmm. Triage Nurse returned to wish me luck, and told me again, ”You’re ever so very brave!”. “You have a beautiful disposition,”said Irish Nurse. Nurse Three gave me another shot of morphine and told me to rest. My next stop would be the Surgery Theatre.
I took the opportunity to call my parents again and was able to have a decent conversation. I related the surgeon’s discussion. I was suddenly nervous about taking the general anaesthetic. We said our goodbyes and I hung up.
Just before nine p.m., probably four or four-and-a-half hours after I entered the hospital’s lobby, I was wheeled towards the theatre. At every doorway it seemed a new orderly, nurse or doctor would join the train following my gurney, each asking the same questions – when did this happen, when did you last eat, what are you doing in Australia, how long have you been here, what are you studying, what’s Plant Mythology? I felt positively celeb.
After dozens of doors and the same eight questions, they pushed my gurney next to a bed and shifted me over. Everyone was cheery and chatting. The anaesthesiologist put a mask over my face and said, “You’re just going to breathe some cold oxygen for a little bit.” Some funny-smellin’ oxygen… It occurred to me I should thank them, and wish them luck. I wanted to apologise for making them work on a Sunday night. I fell asleep.
*I was wearing “good underwear.” They might have been manky with blood, but Ann Landers would have been proud.
I don’t know where she’s going, I don’t care where she’s been,
Long as she’s doin’ it right. Long as she’s doin’ it right
Published in 1970, American Beauty is the Dead’s fifth and probably most approachable album. I wouldn’t call myself a deadhead, but I’m deeply attached to these songs. They’re always on my ipod, and back when I had a car, the CD was required listening material for roadtrips. Some of these songs instantly take me back to Nevada, Utah, SoCal…






