Perspective gained by space in addition to time

“If you can see a thing whole,” he said, “This particular seems which This particular is usually always beautiful.  Planets, lives . . . yet close up, a world is usually all dirt in addition to rocks.  in addition to day to day, life’s a hard job, you get tired, you lose the pattern.  You need distance, interval.  The way to see how beautiful the earth is usually, is usually to see This particular as the moon.  The way to see how beautiful life is usually, is usually through the vantage point of death.” (Shevek, character in Ursula K. LeGuin’s The Dispossessed)

As we slog through time sequentially, we don’t always see the whole picture.  Hard things happen, in addition to they are truly painful, in addition to they become part of our stories.  yet, as one of my characters says, they aren’t the end of the story.  This particular’s only through the vantage point of death, or eternity, which a life’s full beauty can shine.  in addition to to bring which sublime thought down to earth, This particular sometimes helps to look back a few months or so to feel less discouraged.

Friday was the last day of rounds with the current set of interns; they switch services every three months through their year, rotating in OB/GYN, Paeds, Surgery, in addition to Internal Medicine.  They come in quite vague about babies in addition to children, in addition to often leave with some sense of accomplishment.  I noticed on rounds on Friday, the row of 9 of the smallest preems (2 per incubator in addition to one yet-to-be-squeezed in, in addition to which was before 2 more were born which afternoon . . ) every single one had appropriate increments of milk feeds in their nasogastric tubes in addition to IV fluids in their veins, every single one was gaining about 1.5% per day of body weight.  This particular is usually NO modest THING.  This particular takes time to learn how to gently in addition to meticulously manage beings who weigh 2-3 pounds (This particular row is usually 800 to nearly 1600 grams).  On the additional side of the room there is usually a row of the 1600-1800 size, tubes out, learning to breast in addition to cup feed.  My additional intern had appropriately corrected the management of a critically ill in addition to dehydrated baby admitted overnight, in addition to had thought through some of the more complicated cases on his service.  In short they had both come a long way.  We’re trying to measure what we do with pre in addition to post tests in addition to a core curriculum, in addition to both of these interns raised their score by 20 points over the 3 months.

This particular’s also great to finally possess the nurses settled.  December was chaos as the strike ended in addition to assignments were reshuffled, then at Christmas in addition to into January many took their accumulated leave (strike time doesn’t count as leave . . ).  So finally we possess the queen of Kangaroo Care (skin to skin warmth in addition to nursing of babies by their moms) back in action. The twins pictured here were SO SICK at birth, yet to see them today you’d hardly remember This particular as they move into their third week.

At home on the weekend This particular is usually what my table looks like as I review labs in addition to cases with the intern.  The point being, a year ago no one was following very closely, especially on the weekends.  So there’s which.

These are the senior preems, Kangarooing.  When deaths feel overwhelming This particular’s Great to look in addition to see the lineup of babies who make This particular through a harrowing month or more to grow enough to go home.

This particular is usually what 3 babies-per-incubator looks like.  Crowded or cozy?  This particular’s an infection-control nightmare yet the alternatives aren’t great.  We don’t turn anyone away.  Some are born at home, or at modest clinics with no capacity to manage an infant, so are sent here.  My Medical Officer colleague who did her internship a few years ago, in addition to is usually today working on Paeds, commented This particular past week which when she was an intern these babies were not surviving, in addition to things are so much better today.  Great reminder which my perspective is usually so limited, in addition to people looking over a longer interval see more change.
in addition to This particular’s not only the babies:  here are 2 moms-per-bed awaiting C-sections This particular week as Scott was working to get them into theatre.  I think the patient resilience of Kenyans, the willingness to share a bed in addition to to endure discomfort in addition to to sacrifice for their children, will win out over all obstacles, eventually.
This particular is usually a Monday pep talk to ourselves.  The point is usually, This particular’s all disease in addition to crying close up, yet when you get the distance of a day or a rotation or a year or a lifetime, there is usually great beauty.

Perspective gained by space in addition to time

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