She pulled the safety pin out of her arm and handed it to me. Blood poured out of the hole, running from inside her elbow to her wrist. I handed her a few 4×4's.

"Thank you. You're going to get blood on your sweatshirt." It was a New York Yankees sweatshirt, but still.

She took the gauze pads from my hand and placed them on top of the hole in her arm as I threw the pin into the sharps container. Her other wrist showed old wounds. She is a cutter. Now she is self piercing as well.

We had left the group home minutes before, after the police had escorted her out following some behavioral issues. She was on fire then, full of anger, still hot from whatever had happened inside. It wasn't my first time with her.

"You look sad, Shantee, not mad." She stared into space, stone face in place, not blinking, not showing anything, she thought, but the mask was getting tired, her facial muscles giving in to the true feelings she tried desperately to cover with her self-mutilation. "What happened?"


"Is it everybody there, or just the lady working tonight?" It was always the same attendant whenever I was called to take her away.

"I don't like any of them."

"Have you tried to leave?"

"I have nowhere to go."

"Another group home maybe."


"You need a plan."

"I have a plan."

"And what is that?"

"I plan to die."

The way she said it stunned me, no emotion, no drama, just the facts. I've seen more than my share of hanging bodies and overdoses to not take her at her word.

"That is a terrible plan."


"I wouldn't want to be eighteen again for all the money in the world. A lot of people feel the same way. It sucks. And those kids you see on TV, and school, all cool and everything, without a care in the world, going through life without a care, two parents, maybe a car and a boyfriend? It's bullshit. It's a lie. Everybody hurts, they are just better at hiding it. There is always sadness, it's in all of us. You just got a little more. But there's another side, and you can find it, and you will, just don't give up."

The truck was backing in to the ER now, my time was nearly through.

"I'll tell you one more thing," I said as we walked out. "At least you're honest. That's a lot more than most of us have, so busy trying to look happy and all that bullshit. Stay honest, and don't let anybody lie to you, and I hope you will be okay."

Nothing. She followed me in, and sat in "the chair" and stared into space, lost again, wherever she goes.

Two hours later I brought another patient in. Shantee was still sitting in the same spot. She didn't expect to see me, and when she did, the most genuine smile I have seen in a long, long time brightened her face. She kept it for a few seconds, met my eyes, then looked away. It was completely spontaneous, and totally honest.

And it made all the bullshit go away, and made me realize why I'm here. I just may have saved a life tonight, and it didn't take any meds, or defibrillators, or rapid interventions, just good old emotion and honesty.



  • sarah says:

    Aw I hope she made it.
    Keep up the good work.

  • michael says:

    Thanks Sarah, if that smile is any indication she's well on her way!

  • hilinda says:

    I hope things go okay for her.
    You hit the nail on the head with this one. One of the things I take great care to do while I'm teaching is to be honest with my students. Most of them- maybe all of them- have never had anyone, let alone an adult, really be honest with them before. It makes a huge difference for them, for there to be one person, one place, that isn't bullshit.
    The world can be so overwhelming.

  • Michael Morse says:

    Thanks Hilinda, a little goes a long way.

  • Medic2RN says:

    Kinda makes you want to do another 20, huh?  Nice job.
    Be Good,

  • Rob says:

    Stories like this make me remember why I chose Psychiatric and Addiction Nursing as my specialty. Its the little things we do that make the difference. Even in the sea of bull shit… This story brightened up my week.

  • Michael Morse says:

    Thanks, guys, it has been a long couple of months, getting kind of dissillusioned-again- when this one came in. One of those magic moments that sneak up on us, I just hope the kid felt it too.

  • Bob Duccaone says:

    Mike:  It's not necessary for you to save the entire world.  If you've saved just one, you've made a difference. 

  • JoeEMT799 says:

    Good  choice of medicine! Better then the stuff they get at the pharmacy. 
    Thats why your there!

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