33 yo F h/o stroke and L hemiparesis s/p postpartum vasoconstrictive syndrome p/w SVT converted with adenosine in the ambulance. Due to the ICH, she’s now missing part of her skull and R brain, so there’s a marked concavity in her R skull. She lost all sensation and power on her L side, though she’s regained some strength in the R side with the addition of tremors. She has a PEG in place for feeding and requires the help of family to help with incontinence. She’s stable though, right now we’re just waiting for transfer to neurosurgery to replace part of her skull.

What spoke to me is that she’s one of us. She’s married to a radiology fellow at Jeff. She was a psych fellow herself. She was a doctor before all this happened, and I am going to be where she was someday. And all she did “wrong” was have a baby girl. 

I spoke with my brother for a while last night. He told me about his new life in China, and the good group he has out there with him. He also told me about how he witnessed a bicycle vs. truck MVA. The bicyclist bled out with a cracked skull on the street. She was probably in her 30s too.