The girl and the snake

Issue: BCMJ, vol. 57 , No. 6 , July August 2015 , Pages 250 MDs To Be

The winning entry from the UBC Faculty of Medicine’s 2015 Art as Adjuvant writing competition.


She tumbled and tumbled, down, down, down. There was a bang, and then nothing.

Instantly, she slept.

In and out, in and out. Her breath kept perfect metred time. The grown-ups, having seen the fall, wailed as they scooped her up in arms. They ran the way that children run, not looking at the ground.

At the hospital her little veins were mined for clues and secrets. Wires watched her beating lion heart. Computers looked inside her bones and there, there! They found her story. The girl was almost perfect, head to toe. The tumble, though, had shaken loose a snake of vein inside her head, behind her blue-green eyes.

Her purple blood—made red with every gentle, numbered breath—was fast escaping, thanks to that shaken snake. It spilled into her bustling skull, chock full of 2-year-old wonder, adventure, and wit.

Her mother kissed her curls and made a sound, out in the hallway. The man in the mask cut her hair so short. Down we descended, not unlike she did, to a place where there had never been light. When we arrived we saw many colors. Violet and gray, scarlet and blue, creamy white and golden yellow. We let the colors wash away, and gasped at what was left behind. A jewel. The seat of her wild, joyous mind. Her brain, folded like coral. Immaculate. Gorgeous.

We worked as fast as our hands could go, as carefully as anyone, ever, to keep what was perfect, perfect. We put her back together as best we could, and after our job was done we made armor out of the slack in our faces. We grew lumps in our throats, stopping hot, fat tears. I asked the surgeon to please change his scrubs.

Her mom made another sound, out of sight, in the hallway.

We all crossed our fingers. Some crossed their toes. Our hearts thumped like rabbits inside of our chests and above everything else, we hoped. For the snake to sleep. For her eyes to open. For so much and so little, we hoped and we hoped. And all the while, the little girl lay there.

Breathing in, and breathing out, and who knows for sure? Maybe dreaming.


Disclosure
This is a work of fiction; any resemblance to specific details, patients, or events is entirely coincidental.

Acknowledgments 
Competition organizers would like to thank the UBC Wellness Initiative Network and the UBC Arts in Medicine club (www.arts.med.ubc.ca). Ms Caddy would like to thank all the patients and families who let students be involved in their care.

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Ms Caddy is a medical student from Nanaimo, BC, enrolled in the University of British Columbia’s Southern Medical Program, class of 2016. Having forgone a creative writing degree to pursue biology, she attended Malaspina University-College (now Vancouver Island University) before earning her BSc in biology at the University of Victoria.

Patricia (Trish) Caddy, BSc,. The girl and the snake. BCMJ, Vol. 57, No. 6, July, August, 2015, Page(s) 250 - MDs To Be.



Above is the information needed to cite this article in your paper or presentation. The International Committee of Medical Journal Editors (ICMJE) recommends the following citation style, which is the now nearly universally accepted citation style for scientific papers:
Halpern SD, Ubel PA, Caplan AL, Marion DW, Palmer AM, Schiding JK, et al. Solid-organ transplantation in HIV-infected patients. N Engl J Med. 2002;347:284-7.

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