The Work of Angels

Greetings everyone, its me, Greg Chapman. I realize that the folks on the Explorer Blog keep some pretty great stories on their space. But they passed on this story below about their work on the new doc Moment of Death. They also will have some pretty compelling stories all weekend long from doctors and hospital patients that have had near death experiences. Pretty interesting and worth the read.

Kendra Gahagan
National Geograhic Television

We arrived at UCLA Medical Center in Los Angeles in a hurry to begin what we knew was going to be a long day of filming. We rushed around checking our gear and going over the schedule for the day, but no amount of planning could have prepared us for what we saw when we first entered the 7 West Intensive Care Unit. An entire row of beds lined the wall containing patients in varying degrees of coma. It was eerily quiet, except for the beeps of machines and the low chatter of nurses taking important phone calls. We struggled to keep our camera gear and ourselves out of the way amid the life-saving work going on around us.

We watched as Dr. Paul Vespa, Director of Neurocritical Care at the UCLA Medical Center, checked on an elderly patient who wasn't doing well. This patient was at the low end of what is known as the Glasgow scale - a ranking system of the brain function of coma patients, from 3 at the lowest to 15 at the highest. It was difficult to watch as Dr. Vespa spoke loudly near the patient's ear and squeezed the patient's fingernail bed to check for a reaction- all with no response. None of the patients in the neurosurgical ICU had been there long - it is a place where people are rushed immediately after a fall, like the elderly patient, or a horrible car accident or other tragedy that has left them brain injured. They are, as we were told, the worst of the worst cases. I quickly discovered it is also not a place to visit without an ample supply of tissues on hand.

Explorer: Moment of Death Premieres Tuesday September 2, at 10p

With an almost angelic air, nurse Jennifer Youngblood spoke warmly to the elderly man, as nearly all nurses do here with the coma victims. We could see how attached Youngblood, Dr. Vespa and the rest of the medical staff were to their patients. Each day for them can bring small victories, such as the sudden movement of a finger, or crushing defeats, such as a drop on the Glasgow scale during an overnight shift.

We split our time between the 7 West ICU and the 6 East ICU one floor below, where another half dozen patients were fighting for their lives. At the end of the row, we would find a patient whose story would move us in ways we could not have imagined when we arrived there. A young man in his 20's, he had been rushed in days before with a gunshot wound to the head. We had watched Dr. Vespa look over his brain scans with other doctors, reviewing the injuries and giving a grim assessment of the chances for survival. Today, Vespa's analysis had sadly proven to be right, since hours before our arrival, it was determined the young man had slipped away and been declared brain dead.

We watched as nurse Debbie Ceasar checked the patient's vital signs. Although he had been declared brain dead, he was on a ventilator while doctors checked his suitability as an organ donor.

Knowing this patient was clinically dead, it was unnerving to see him "breathing." We watched the wooden cross that hung from a cord on his chest rise up and down with each breath. Ceasar remained busy, caring for her patient almost as though he were still alive. She had to constantly monitor his blood pressure and oxygenation levels to make sure the other organs remained protected - even though his brain had stopped working.

Sitting at dinner later that night, it was hard for all of us to comprehend what we had seen. It troubled us to watch patients in the ICU clinging to life who days before were probably walking around, heading to work, or spending time with loved ones. It humbled us that their families would allow us to tell their stories to try to educate others. We were in awe of the doctors and nurses who we watched care for these patients with such compassion. And we knew we would never forget the hours we spent in the room with the young man whose brain death reminded us so poignantly of the fragility of both life and death.

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1 Comment

Right...one moment you're in the mainstream of daily life & POW!! "T" boned by another auto. You are now the proud owner of a one way ticket to the otherside.However,first not without a stop over at the local ER to drop off some left over organs you won't be needing any more. That's how fast change is!
What can you do? Nothing!
Except slow down, relax abit, try to appreciate this uncertain amount of time we actually (might)have here on this rock pile we call earth. Yes my fellow human being there really are roses out there and they do want to be smelled, all the time and by you & me. OR Have we become the very people a large majority of the world belives us to be?
Nothing more than money hungry, spoiled, ego driven psudo socialites who wave at you with only one finger extended, all the while beeping at you at red lights. As they jam their time schedule into your space & time yelling words not fit for even a war time enemy. Unfortunately, I feel we have become so numb from all the media input that we seek the safety net of denial rather than to stand up and be counted. We need only to peruse thru our history books to remember the character of person it takes to make a difference. Let's not alienaate words such as compassiom, trust and understanding, only to be bought on a greeting card, parenthetically given to your fellow man in a moment of their despair. Rather embrace the meanings of these words so they may become the fabric of who you truly are and maybe thru osmosis and the belief in your own tenets, life... might not seem so meaningless and overwhelming afterall.Yes my friend there are roses out there, lots of them and they do want to be smelled by you & me !!

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