My husband was in his second year of General Surgery. A dreaded year known for its heavy brutal workload of trauma, in one of the busiest trauma centers in the country. They spend half of their second year in the trauma center seeing things that are unimaginable to some of us. They worked 24 or even 36 hours at a stretch seeing patient after patient after patient. Only to go back the next day and do it all over again. There are two nights that I will never forget during that period of time. For a second they made me think to myself what in the world did I sign up for. He would come home from his shift looking worn and beaten. The fatigue of the battle written all over his face down to his blood soaked Danskos. He would shower and then go straight to bed. Often not eating a thing. One night in the haze of sleep I felt my right arm being lifted into the air. Not sure if I was in a state of sleep or not, I could hear the words being spoken but unsure of what was happening. "There is obvious deformity. I don't feel a radial pulse (as I feel the fingers checking my wrist). I do not feel a brachial pulse either (again feeling the fingers checking in my inner arm). I think we need to amputate."
Say what?!!
I jumped out of bed faster than the speed of light. I immediately turned on every light in our room to which my husband, in his sleepy delirium, was asking why I turned the lights on. Gee, I don't know something about my arm being amputated! I knew that we had surgical instruments in the house. Unable to sleep the rest of the night I laid there staring at the ceiling trying to remember where he kept those instruments.
A few weeks later I had another night of interrupted sleep. Though not quite as traumatizing, still made the heart beat a little faster. That night as I lay on my left side I feel a finger run down my back accompanied by the words "skin incision". Though there were no incidence of sleep walking, after that night I found the practice instruments that were kept in our apartment and put them all in the same bag. They were placed where I knew they all were on the off chance he found one sleeping walking in the middle of the night, after his post trauma slumber, and felt the need to do an amputation. He still had many tough rotations during the next three years and even more rotations in trauma but they didn't seem to plague his dreams as much. Now he just incessantly grinds his teeth all night. But I'll take that over a possible surgical incision any night!