By Elaine Viets
Here’s another first page from the prolific pens of our TKZ readers. I’ll make my comments after you read it.
Galilee Medical Center, Nahariya, Israel
11 November 1982
The child lay limp and pale on the gurney like a cast-off doll. Blinking hard, I terminated the unrelenting replay of a past tragic failure.
Block it out doctor! But the brutal images of another little girl clutching a Raggedy-Ann doll mocked me, and refused to give way. The little one I tried to save. The one I was forced to leave, to die, alone.
No Moshe. Not now. Save this one!
“Okay Dr. Sabin, we’re ready to go,” said Lydia, giving her a few more breaths with the ambu-bag. The self-recrimination momentarily halted, I slid the laryngoscope blade into her mouth, and gently lifted.
“Suction please.”
I cleared the tiny girl’s pharynx of bloody sputum. She smelled of smoke, dust, and something……what, urine? I was just about to pass the endotracheal tube, when the emergency-room doors burst open. Two medics exploded into the room, pushing another gurney, violently jolting the stretcher under my patient, nearly causing me to lose visual of her vocal cords.
“What the hell?” I blurted, but quickly slipped the slender tube into her trachea and removed the laryngoscope blade before glaring up at the offender. Instantly, the acrid, sharp stench of burned flesh and violence hit my nostrils.
“Burn patient doc,” grunted an IDF medic.
“Hannah!” I shouted to another nurse, “Grab the burn kit. I’ll be right there!” Commanding shouts rang out from beyond the double doors, followed by the high-pitched whine, and whop, whop, whop of an approaching helicopter.
“Huh?” I gasped, taping the ET tube to my patient’s face.
“We’re expecting more casualties, some sort of bombing.” Lydia said, as she attached the ambu-bag to the little girl’s airway. I squeezed the bag delivering a few quick breaths. A blush of pink replaced the dusky, ashen hue of the girls face, as oxygen-enriched air filled her lungs.
The doors crashed open again, and a barrage of wounded IDF soldiers cascaded through.
“You! Doctor!” barked a stocky, red-faced IDF captain, one hand holding a blood-drenched trauma pad against his neck. “Get your hands off that Palestinian dog and treat my men now!”
With that, the captain grabbed the end of the girl’s gurney and gave it a fierce yank, launching the stretcher into the back wall, and ripping the airway right out of her trachea.
Elaine Viets’ critique:
I assume, since the date is written European style, that the author is not an American. The story feels authentic and starts off with a bang. However, it quickly loses its impact when the second sentence trips over Dr. Moshe Sabin’s memories as he tries to save the life of the little girl on the stretcher. That sentence (Blinking hard, I terminated the unrelenting replay of a past tragic failure) is hard to read.
Rather than loading the action-packed beginning with extra information, why not wait until the little girl is breathing? That would be a good time to add the back story about the doctor’s previous failure.
The story is also slowed by medical jargon. Since many of us watch hospital dramas, we have a pretty good idea what an ambu bag is and we may even know where an endotracheal tube goes, but the phrase “lose visual of her vocal cords” should be in plain English.
Why not say: “nearly causing me to lose sight of her vocal cords”?
A laryngoscope is a fearsome-looking contraption. It would be a good idea to briefly describe it and the difficulties and dangers of using it – especially the blade.
What is an IDF medic? Tell us what those letters stand for.
Suppose the author began this way:
The child lay limp and pale on the gurney like a cast-off doll.
“Okay, Dr. Sabin, we’re ready to go,” said Lydia, giving the child a few more breaths with the ambu-bag.
“Suction please.”
I cleared the tiny girl’s pharynx of bloody sputum. She smelled of smoke, dust, and something . . .what, urine?
I was just about to pass the endotracheal tube (AUTHOR, TELL US WHERE ARE YOU PASSING THIS TUBE), when the emergency room doors burst open. Two medics exploded into the room, pushing another gurney, violently jolting my patient’s stretcher, nearly causing me to lose sight of her vocal cords.
“What the hell?” I blurted, but quickly slipped the slender tube into her trachea and removed the laryngoscope blade before glaring up at the offender. Instantly, the acrid, sharp stench of burned flesh and violence hit my nostrils.
“Burn patient doc,” grunted an IDF medic.
“Hannah!” I shouted to another nurse, “Grab the burn kit. I’ll be right there!”
Commanding shouts rang out from beyond the double doors, followed by the high-pitched whine, and whop, whop, whop of an approaching helicopter.
“Huh?” I gasped, taping the ET tube to my patient’s face.
“We’re expecting more casualties, some sort of bombing,” Lydia said, as she attached the ambu-bag to the little girl’s airway. I squeezed the bag delivering a few quick breaths. A blush of pink replaced the dusky, ashen hue of the girls face, as oxygen-enriched air filled her lungs.
Blinking hard, I tried to terminate the unrelenting replay of a past tragic failure.
Block it out doctor! But the brutal images of another little girl clutching a Raggedy-Ann doll mocked me, and refused to give way. The little one I’d tried to save. The one I was forced to leave, to die, alone.
No Moshe. Not now. Save this one!
The doors crashed open again, and a barrage of wounded IDF soldiers cascaded through.
“You! Doctor!” barked a stocky, red-faced IDF captain, one hand holding a blood-drenched trauma pad against his neck. “Get your hands off that Palestinian dog and treat my men now!”
With that, the captain grabbed the end of the girl’s gurney and gave it a fierce yank, launching the stretcher into the back wall, and ripping the airway right out of her trachea.
Anonymous Author, the last three paragraphs are outstanding. Congratulations on an intriguing first page. I’d really like to read this novel.
What do you think, TKZ readers?
Win Backstab, the first e-book in my Francesca Vierling newspaper series. The police say the deaths of the St. Louis columnist two friends were accidental, but Francesca is searching the city for their killer — before he finds her. Click Contests at www.elaineviets.com












































