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Sunday, March 17, 2013

Goodnight Mommy



          “Goodnight sweetheart.  I’ll see you in the morning,” I overheard my wife whisper to our daughter as she tucked her into bed.  We have said this to all of our children countless times over the years, but that night it felt a little more special.  I had just gotten home from work.  I work in the emergency room and it was not a good day.  We said our goodbyes to a 19 year old woman; a mother of a 2 year old daughter.  A child that will grow up and never know the comfort of being tucked in by her Mommy.  A little girl who will never hear those simple yet beautiful words, “Goodnight sweetheart.  I’ll see you in the morning.”
            What made this tragedy so bitter was the cause of this woman’s death.  There was no medical reason.  She did not suffer from a disease.  She did not have a congenital disorder that caused her death.  She fell victim to the leading cause of death to young people in this country – accidents.  It wasn’t even an accident that was her fault or even the fault of the people she was with.  In other words, she did absolutely nothing wrong.  She was completely innocent, yet she had been forced to suffer the ultimate sacrifice and her child the ultimate loss. 
            This young mother was involved in a car accident (MVC). She was the front passenger, while her mother was driving and her daughter was strapped in her car seat in the back seat.  They were on their way to buy clothes for their little girl.  Something my wife and mother have done many times in the past.  Instead of having a special day with a daughter and granddaughter, it turned into a nightmare.  While waiting to make a left hand turn they were suddenly struck from behind.  It is estimated that the driver was traveling around 80 mph.  The speed limit was only 35.  Pictures of the vehicle clearly show the violence of the impact.  The whole back half of the vehicle was destroyed, and the car was thrown over 100 feet through the intersection.  Grandma was unconscious at the scene and ultimately sustained a serious concussion.  Baby was screaming when helped arrived and was air-lifted to a trauma center.  We were told that she sustained a leg fracture but was otherwise okay.  Mom was DOA at the scene.  EMS immediately got to work to bring her back.  She arrived in our ER pale and lifeless with strangers all around her trying to save her life.  We continued the effort.  By the time we gave up trying to do the impossible, the young mother had tubes coming out of her mouth, both sides of her chest, IV’s in both her arms, her neck and even drilled into the bone of her leg.  She did not go in peace.
            After helping to fight the good fight I had to resume my duties and continue helping others.  Unfortunately, my next patient was the gentleman who caused the accident. 
            Years ago they re-named car accidents in the medical field.  They used to be called ‘motor vehicle accidents’ (mva), however the powers to be felt that there truly were no accidents.  There was always a cause, and with our never ending need to finger point in this country, they were re-classified as ‘motor vehicle collisions’ (mvc).  I always had an issue with this.  I felt it represented what is making this country sick; the need to blame and punish, while being politically correct.  I see their argument.  There is always human error in every car accident, but it doesn’t mean that those who were at fault need to be sentenced by society.  Sometimes bad shit happens, caused by good people.  That’s life.  We don’t always need to play the victim.
            With that said, there are those accidents that truly were avoidable and punishment needs to be delivered.  This is one of those times.  The asshole that lay before me that day told me, “I must have passed out.”  He did not know why he fainted while driving his car.  He did not have a history of seizures.  He never passed out before.  He did not have a heart attack.  The answer is one that I have seen before, and mentioned in my book ‘MediSin’ when another mother was taken away from her children.  He was taking high doses of multiple prescription pain and anxiety medications.  Highly addictive medications, prescribed by his physician, pushed by drug companies, regulated by the government, tolerated by society and enjoyed by millions.  He had been taking them for years for bullshit reasons (such as “advanced osteoarthritis” and the debilitating “fibromyalgia”) and simply became addicted to them like every other drug addict, but his addiction was “legal”.  His addiction finally caught up to him that day, and unfortunately stole the life of a young mother and robbed her daughter of a life with her Mommy. 
            What was harder to hear, was this drug addict had no remorse.  He didn’t care that he just killed someone.  He didn’t care that an entire family has been torn apart and their lives forever altered.  He kept saying that he had prescriptions and he was taking them like his doctors were telling him.  He began to cry when he found out that he was going to prison, because this was the second time he hurt someone while driving when he shouldn’t have been.  He tried to escape from the hospital after he found out his life was going to be forever behind bars.  I am sure the dead mother in the room next to him would have gladly changed places with him if given the chance. 
            The threshold for the use and ultimately abuse of prescription medications, whether they are taken for physical or mental ‘pain’ is so low that we are literally killing ourselves in this country.  If you fracture your arm, take a Vicodin or two if the Tylenol isn’t enough; but if you sprain your ankle, put some ice on it, take some Motrin and suck it up America.  Seventy five percent of the narcotic pain medications taken in the world are popped by us. If you lose your child in a horrific accident and need some Xanax to get you through the grieving process, that is understandable, but don’t claim to me that you have PTSD because your dog died 10 years ago and you need daily Ativan to get you through your day.  When did we become so weak minded and unable to cope with any sort of pain?   We are ‘a society of drug addicts’ as well as ‘a society of enablers’.  Two chapters that are at the center of my book.  This inability to cope with reality is central to the disease that is weakening this country and killing us all; sometimes one mother at a time.