Dad looked around the large room in Ireland, and took in the stone
still faces of all of the members before him.
Then he looked back at his notes.
They were blurry. His eyes were
damp with tears, and the tears surprised him.
But he had told the hard part of the story, and had gotten through it.
All eyes were on him.
The room was dead silent. The
audience rapt. Collecting himself once
more, he began to speak again:
“Folks probably got tired of my criticism of the
treatment we received prior to arriving in Lincoln.”
He said. “It was not so much that
I was complaining about the care at any particular facility, but of the lack of
a delivery system to treat the acute trauma patient in the rural setting. The
statement in the ATLS manual ‘When I can provide better care in the field with
limited resources than what my children and I received at the primary facility,
there is something wrong with the system and the system has to be changed,’
emphasizes this observation.
“Simply put, you have to train them before you can blame
them.”
At the hospital and for the next year, dad did
complain. He felt very fortunate that
all of us had come through, and were on a solid road to recovery. Eventually we all would recover fully, beyond
everybody’s expectations. Even
Rick. At first and for a few months, he
had seemed that he had suffered a severe brain disability. He couldn’t speak, or dress himself, and
things did not look good. Then suddenly,
just like that, he was fine. It was as
immediate a transformation as dad had ever seen. It was like he just snapped out of it and was
a kid again.
For his part, Rick has no memory of his life leading up
to that moment, but he’d be okay from then on.
For that, and for all of us, dad was profoundly grateful. But still, he couldn’t shake the problems he
had encountered in Hebron.
He wasn’t even really sure exactly what he was
complaining about, but the whole thing seemed so ridiculous. And it was causing him great
consternation. He was trying not to be
blameful of the hospital staff in Hebron,
he was sure of that. He’d personally
known those people and many others like them around the state. He had seen them work before and knew they
were competent, caring people and professionals. They weren’t bumpkins, and he felt bad that
in the days after the crash he had given the impression to many people that
they were.
Still, he felt angry and was having a very hard time
getting over the closed ER doors he had encountered, but in reflecting on the
events of that night he began to see the perceived errors he had seen and the
whole fiasco they created as secondary.
It was only and indication, a symptom, of a much bigger problem.
It was really about the delivery system. It was so different from place to place. That was really what was bugging him, he realized
abruptly one day.
How could it be, he exclaimed to Ron Craig, that such
disparity in simple emergency treatment can exist in the modern world? He demanded, to no one in particular, that
someone needed to do something. Ron was
intrigued by the problem as well and he and dad began to talk, casually at
first, about how to prevent the experience from happening to anyone again, and
if it was even possible.
Ron and my dad were friends and colleagues and he had
nothing but respect for dad, but he had gotten pretty sick of listening to dad
go on and on about it. He knew dad was
right about the delivery system, but if he was serious, then there was going to
be work to do. A lot of work.
“Styner,” he said one day after listening to another of
dad’s tirades. “Quit you’re bitching and
put your money where your mouth is!”
I imagine that the jolt that hit him at that moment was
very similar to the one that hit me when Shelley pointed out that the truth of
the accident was still out there. These
kinds of revelations happen in the simplest of moments, when everything lines
up for a blip in time and a single word or phrase can change your entire outlook
on life. Some call it epiphany, or
divine intervention, or any myriad of things, but it is really only a matter of
having the blinders torn off, and seeing the world in a new, unfiltered way.
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