Pauline Chen
Final Exam

When I first began writing this, I was tucked into bed at seven p.m., hoping to be asleep soon. As I take my notes from last night and begin to type them into the computer, it is 4:34 a.m., and I've been awake for an hour. The headaches that have been dogging me for months have intensified their barking in the past couple of weeks. Pain and nausea are paired, and the pain in my face simply changes shape when I swallow the Vidodin I was prescribed on Friday. I have been trying other pain medications—and they haven't been working—so strung out from pain, I broke down and accepted the doctor's offer to write a small script for opiates until I can get in for my CT scan, which is scheduled for later this morning. (My history with opiates is not a good one.) The Vicodin has made me feel sleepy and sick—and relieves the grinding ache in my head for only 45 minutes or so.
I could pop these pills every hour, chasing the dragon of relief, but ironically, the Vicodin gives me a headache—it's in a different part of my head—a pressure that feels as if the inside of my skull is a pneumatic piece of rubber dangerously overinflated. I'm not really having a lot of fun with this, but distraction seems my only real coping mechanism. And so, I've been reading and reading. By my count, five books in a month, plus who knows how many magazine articles, online articles, and blog entries.
American medical system | Death | dying | end of life | Final Exam | intensive care | surgeons | Pauline Chen






















