The "dog days" of summer are upon us here in Cowlumbus, Ohia. With the combination of the heat, high humidity, UV warnings, and air quality alerts, I have been confined to the relative comfort of air conditioned indoors and relegated to regular usage of antihistamines and inhalers to combat the allergens and airborne pollutants. Thankfully, I do live in a neighborhood where brown lawns become the norm this time of year, so some respite is at hand.



Love our local planning here... One of three bridges into downtown has been closed for replacement for well over five years now - closer to ten I'm fairly certain, but I cannot remember the exact time it was that I chased the thief over the closed bridge... (**you have to love the way my right-brain correlates data...**) Last month, one of the two remaining bridges into downtown (also scheduled for replacement) was ordered permanently closed by the Ohio Department of Transportation due to structural issues. That leaves the one remaining two-way bridge on Broad Street as the only way into downtown. It was bad enough that the Broad Street bridge was the only way OUT of downtown to the West, but to have it as the only access into downtown as well.... And, I will find myself part of that fray on Moanday morning... I am close enough to I-70 that I could attempt that access into the southern edge of downtown/the Brewery District/German Village via that route, but the 70/71 split across downtown is an absolute clusterfuck at the best of travel-times. That section of freeway is the eternal/infernal traffic fatality just waiting to happen. Thank God the Level-1 trauma center at Grant Hospital is about 6 blocks from that particular section of freeway. Many, many people (the ones who actually managed to survive the wrecks that occur on that miserable section of highway, to include my own cousin) owe their very lives to the fact that Grant is that close. Gotta love seeing the helicopters dispatched for a 6 or 8 block flight, but it's necessary for the survival of the victims.



Having spent some time on the trauma unit and in various long-term sub acute units around town, I have had to question exactly why we save some of these people. People on vents in persistent vegetative states, people missing large portions of their brains... permanently restrained, unable to speak or understand, barely able to see, heavily medicated to prevent self-injury and control the persistent, violent rocking and writhing movements... Why do we do this to people? We save their lives to allow them to live at what quality of life?



When I was a much younger nurse, I was convinced that trauma medicine was the place to be. As an older and more jaded (and perhaps a bit wiser, at least a bit more introspective) nurse, I have to ask myself "why?" I will admit that I have formulated no rational, logical answers. I have come up with no answers at all, to be truthful, but at least the process of examining the practice allows me to be able to sleep at night.



Granted, many people (including my cousin) have been given that "second chance" and go on to live productive lives. Many do not, however. Who is to decide? At what level does the cost out-weigh the benefit, not initially, but long-term? Trauma medicine is a money-losing service in itself... another prohibitively expensive health-care quandary/boondoggle irrespective of any moral, ethical, or ideological considerations. Sort of like cancer care and treatment. Cancer research, however, is a tremendously lucrative venture... ~~digression to be better served at another time, LOL. I will merely close that particular avenue at this point by stating that my jaded, cynical self sees that cancer will never be "cured" as there will be waaaaaaay too much money lost by such a particularly fool-hardy action.