Protesting Innocence - a clinical case scenario in 5 stanzasIn memoriam M3 Pharmacology
The brown Aspirin bottle held a genie of cotton wool
and five hundred bitter wishes. Counting carefully,
she vomited at the forty-first. A week. Another week.
She felt the pain of liver writing on the pan,
turned off the gas and crawled, past an infinity of stair-rods.
God danced on his cross at the foot of her bed
like Nijinsky having a heart attack. Headlights,
headlights and questions. A fifteen year old face,
shiny as a peeled lychee, saying "I didn't do anything Dad."
The grey pylons backed her up, pulling out their empty pockets -
protesting innocence. General supportive care, with aggressive gastrointestinal decontamination and lavage.
For mild cases - intravenous fluids and sodium bicarbonate to trap the salicylate in its ionized polar form.
For severe cases - hemodialysis to remove the salicylate more quickly and restore acid-base balance and fluid status.
Why not have clinical scenarios written in haikus?