recovery, but it would be interesting to test the theory. I had a teenage patient once, and though he was used to having catheters stuck up an artery or vein from his groin, and knew all the process, and watched the screen to see the tube travel to his heart, he told me, years later, how much he’d hated it and how he’d far rather have been knocked out before the procedure took place.’
‘Why wasn’t it an option?’ Annie asked, and Alex smiled to himself. He’d mentioned the case as a diversionary tactic but Annie was so eager to know things he enjoyed these discussions nearly as much as—
Boy! He’d nearly thought ‘the popped button’ and pulled himself up just in time.
‘A lot of older children enjoy being part of their treatment, and we’d assumed that was the case with this youth. However, him telling me how much he hated it was a wakeup call for me, because I’d made an assumption on his behalf. Early on, we did all catheterisations for testing and small ops while the patient was sedated slightly but not out of it, mainly because we didn’t have the mild, short-acting anaesthesia we have today. And though we knock the infants out, we’d continued doing the older children with just sedation.’
‘Until someone protested?’
Alex nodded. ‘Bad medicine, that!’ he recalled. ‘We should have asked. I always do now, and I make sure the cardiologists—they do most of the caths these days—know how I feel about it. I even gave a paper on it once.’
And as he said the words he remembered where and when he’d given that paper. At the congress at Traders Rest five years ago…
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