A malpractice claim is not the only way to end up in court.
I happened to be on the night a toddler was brought broken to our ER essentially dead from abuse, a case that was horrific for all of us that futilely tried to stave off the inevitable. An investigation dug up even more grisly details, and eventually the perpetrator was brought to trial.
The day I was called to take the stand I put on a suit I hadn’t worn since a funeral, which seemed appropriate. I arrived at the courthouse and took a seat outside the courtroom to wait my turn to testify. I sat alone flipping through a stray Newsweek wishing my stomach would stop churning. I was really nervous although about what I’m not sure — I had already met previously with the prosecutors to go over the case and the questions they would ask. I guess it was just the gravity and the formality of the proceedings, knowing that all eyes would be on me and that all my answers would be permanently recorded, worrying some about how my answers would come across and more from the uncertainty that hung over the questions I might get in cross-examination. Maybe at some point in my career I’ll get used to providing testimony, but for now it’s all new and I found myself way out of my comfort zone.
Then they opened the door and called me in. I walked up to the stand and faced the jury and raised my right hand and said I’d tell the whole truth. I sat down, my stupid stomach on spin cycle by now, and for a split second I had trouble answering just where it was that I went to med school. But gradually I settled down and soon it was just a conversation, albeit with a lot of spectators, about what happened in the ER that night.
The defense just had a couple of easy questions, I think through my own self-centered take on the proceedings it was easy to forget that I wasn’t the one on trial. Then for me it was over and I walked out to my car relieved to be just some guy again.
The drive home gave me a chance to reflect. Some of the questions they asked bounced around in my head, and like I always do I picked apart my answers and wished I had said it this way instead of that, replaying the altered, new-and-improved dialogue again and again in my mind as if doing so would make the changes real.
But mostly I thought about that little kid, and life, and why is it that some children are born with love overflowing and others destined to savagely die. And those kind of thoughts stir up dormant emotions, because no matter how grizzled and cynical this job makes you, some things still pierce through. I wonder if time really does heal all wounds — this one just seems to scab over, rebleeding every time it’s picked at.
But I’m not much of a thinker, and by the time I got home I was ready to start forgetting. I got a beer from the fridge and turned on a mindless baseball game, appreciating the sanctuary of my home, insulated from all the monsters.
June 3, 2009 at 3:50 pm
14 Months ago a friend’s 7 week old daughter was murdered. I can’t divulge the details, but it was horrific (the mortician did an excellent job, but makeup can only cover so much). The memory is still burned on my brain, the saddest was her baby book, with only a few entries.
I also remember feeling horrible- I don’t ever want to know anything from that side again. The media is terrible. I only had a very small role in the whole aftermath, but I can understand how you felt how you were on trial. Everyone makes you feel that way, even when they have the best of intentions.
June 3, 2009 at 4:12 pm
I’ll bet you did fine…and a beer and baseball is probably the best way to get back to yourself after going deep into your brain like that.
The med mal firm I work for does a lot of bad baby cases. It is no fun.
June 3, 2009 at 5:23 pm
I have been a nurse for 16 years and have seen a lot of sh-t. Nothing really phases me anymore, except one thing: child abuse. It makes me white hot burning mad. I have always felt this way, and it is even worse now that I have my own two little ones. You should be commended for what you do, and trying to bring justice to the members of our society who have so little rights and no voice. Have another virtual beer on me.
June 4, 2009 at 2:11 pm
I have been following your blog for some time now (Medical student). And i have to say that I am really impressed by how well you put your emotions and situation down on “paper” for others to see. This case features one of the saddest scenarios i can think about and cant help but thinking how I will react in such cases.
It will be naive of me to think that I wont bump in to cases like this one during my professional life.
So thanks again for your blog, it helps me think of what to come, both good and bad.
June 4, 2009 at 4:22 pm
That’s a really nice comment, thank you.
June 4, 2009 at 7:29 pm
I think that’s the one thing I’ll never get used to. Pediatrics is otherwise a relatively joyous field, but my God, the abuse cases just make you want to cry. Right up there is accidents like drowning – we just had our first of the season (that I know of) at my hospital today. Awful.
June 5, 2009 at 11:33 am
I was a responding EMT on a call where the mom killed her young son and then tried to kill herself (unsuccesfully). To be able to put aside the inner rage I felt and treat her to the best of my ability was simply the -MOST- difficult thing I have ever done. In comparison, testifying was much easier.
Time helps but doesn’t make you forget.
June 6, 2009 at 11:50 am
Having testified in over 1,200 cases of abuse / neglect as the director of a CAN clinic, I feel for you. It never gets easy.
June 17, 2009 at 8:52 am
I’m a mother of a three year old and we’ve all been following the Baby P case here in Britain where a mother, stepfather and friend abused and tortured a young boy my son’s age to death, under the watchful eye of social services. 60 admissions to hospital, and the child dies of a broken back and ribs in a blood spattered cot. Turns out after the murder trial that the stepfather also specialises in paedophilia.
You frontliners, who have to watch children mistreated and harmed, who have to see the fear and desolation on their faces and try to repair their broken bodies- I have so much respect for you. I do not know how you manage to work pragmatically under such pressure. You’re handling things well and honestly, 10/10. You’re doing better than I ever could.