ER S/P GSW

A colleague tells me of her ER patient,
status-post gunshot to the chest.
How hyperdynamic the heart was,
though a thick, loculated clot
amassed in the pericardial casing.
How the patient pointed to the pain:
red wound, fifth intercostal space.
It was starlike, the small, reflective slug
crouched in its own echolucent shine.
He was alone on the gurney and without
family, the young man who refused police
a description of the car that fired and sped away.
As if to protect someone. As if his shooter
were more a community than the police
our country fashioned of itself. Deindustrialized.
Segmented. Unconscious by an unlit home
with barred windows and hand-written sign
that read “daycare.” No exit. Reverberation
artifact. Neon, auto-bodied sky.
Akinetic on glass-strewn sidewalks, amen.
Same moon as anywhere, amen.
The bullet entered the heart and stopped there.

Credit

Copyright © 2023 by Paul Hlava Ceballos. Originally published in Poem-a-Day on October 23, 2023, by the Academy of American Poets. 

About this Poem

“Can new traumas cause a person to reflect back on older ones that they have sadly become hardened or accustomed to? I don’t have an emotional outlet for my job as an echocardiographer in one of the largest hospitals in my city, so these hospital poems became narrative repositories for what I saw (or in this case heard) during my workday. Condensing time and space, and sometimes speaker and subject, these poems allowed me to better process the structural circumstances that my patients and I often found ourselves living in.”
—Paul Hlava Ceballos