clearly thinking otherwise. “It’s nothing you did. Dad has a horrible headache.” Then I heard her say, more to herself than to me: “I wonder if I should call an ambulance.”
If there’s one thing doctors hate even more than being sick, it’s being in the emergency room as a patient. I pictured the house filling up with EMTs, the retinue of stock questions, the ride to the hospital, the paperwork . . . I thought at some point I would begin to feel better and regret calling an ambulance in the first place.
“No, it’s okay,” I said. “It’s bad now but it’s bound to get better soon. You should probably help Bond get ready for school.”
“Eben, I really think—”
“I’ll be fine,” I interrupted, my face still buried in the pillow. I was still paralyzed by the pain. “Seriously, do not call nine-one-one. I’m not that sick. It’s just a muscle spasm in my lower back, and a headache.”
Reluctantly, Holley took Bond downstairs and fed him some breakfast before sending him up the street to a friend’s house to catch a ride to school. As Bond was going out the front door, the thought occurred to me that if this was something serious and I did end up in the hospital, I might not see him after school that afternoon. I mustered all my energy and croaked out, “Have a good day at school, Bond.”
By the time Holley came back upstairs to check on me, I wasslipping into unconsciousness. Thinking I was napping, she left me to rest and went downstairs to call some of my colleagues, hoping to get their opinions on what might be happening.
Two hours later, feeling she’d let me rest long enough, she came back to check on me. Pushing open our bedroom door, she saw me lying in bed just as before. But looking closer, she saw that my body wasn’t relaxed as it had been, but rigid as a board. She turned on the light and saw that I was jerking violently. My lower jaw was jutting forward unnaturally, and my eyes were open and rolling back in my head.
“Eben, say something!” Holley screamed. When I didn’t respond, she called nine-one-one. It took the EMTs less than ten minutes to arrive, and they quickly loaded me into an ambulance bound for the Lynchburg General Hospital emergency room.
Had I been conscious, I could have told Holley exactly what I was undergoing there on the bed during those terrifying moments she spent waiting for the ambulance: a full grand mal seizure, brought on, no doubt, by some kind of extremely severe shock to my brain.
But of course, I was not able to do that.
For the next seven days, I would be present to Holley and the rest of my family in body alone. I remember nothing of this world during that week and have had to glean from others those parts of this story that occurred during the time I was unconscious. My mind, my spirit—whatever you may choose to call the central, human part of me—was gone.
2.
The Hospital
T he Lynchburg General Hospital emergency room is the second-busiest ER in the state of Virginia and is typically in full swing by 9:30 on a weekday morning. That Monday was no exception. Though I spent most of my workdays in Charlottesville, I’d logged plenty of operating time at Lynchburg General, and I knew just about everyone there.
Laura Potter, an ER physician I’d known and worked with closely for almost two years, received the call from the ambulance that a fifty-four-year-old Caucasian male, in status epilepticus, was about to arrive in her ER. As she headed down to the ambulance entrance, she ran over the list of possible causes for the incoming patient’s condition. It was the same list that I’d have come up with if I had been in her shoes: alcohol withdrawal; drug overdose; hyponatremia (abnormally low sodium level in the blood); stroke; metastatic or primary brain tumor; intraparenchymal hemorrhage (bleeding into the substance of the brain); brain abscess . . . and meningitis.
When the EMTs wheeled me into Major Bay 1 of the ER, I