The Board of Truth

Christine P. Shen, MD

On the wall hangs a humble, magnetic dry erase board.
A column for each cath lab room, a row for each time slot,
More reliable than the Epic Snapboard,
It is the board of truth.
The cath lab schedule for the day.

A variety of colored markers rest at the bottom.
Clean, careful handwriting on each magnetic panel.
Patient, procedure, time, attending, fellow,
Initials for monitor, nurse and technician,
Dictating the best laid plans of the cath lab.

Small, labeled round magnets are added,
Designating anesthesia, name alerts,
Quick scribbling by a hurried fellow,
6 F R radial, JR4, JL3.5,
Severe aortic stenosis no – nitro!

Before long the board transforms with the day,
Check mark, ready to load.
"In" circled in red: case is starting.
Big "X" in black marker: case is finishing.
How fast can the room turn over?

NSTEMI? Add it to the board.
Hold for an incoming transfer,
Bumped, for a STEMI.
Cancelled, for unexpected bleeding,
Shuffling faster than Hogwarts stairs.

Scribbles, smudges, and cross-outs,
The aftermath on a battlefield of lives saved and lives lost,
All get erased at the end of the day.
With barely perceptible residual markings holding their memories,
Until tomorrow, a new day, with a clean board and fresh marker.

Christine P. Shen, MD

This poem was authored by Christine P. Shen, MD, an interventional cardiology fellow at Scripps Health in La Jolla, CA. @iconsideritjoy.

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