Puzzle Incomplete

Trauma shift
Heart transplant patient
Consult for bowel ischemia
No need for surgery
Continued rise in lactate
Back and forth to the ICU
Family in waiting room
Puzzle scattered on table
Washout of chest
OR brought to ICU
Irreversible damage
Wife hugged and thanked me
New life lost to the night
Tears stream
Puzzle incomplete

Savannah Gelhard

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