Kira Carrillo Corser © 1993

 

Emergency Room, U.S.A. 1993



Millions of people in the U.S. today rely on the public hospital's
emergency department for basic health care. Five years ago,
Los Angeles County had 25 emergency departments. Today,
there are only 13. The remaining trauma centers are overwhelmed.

Patients wait for hours --6 hours in L.A., 16 in N.Y. --
competing with others for care.
Many leave without being seen. Others postpone
going to the hospital because they know they'll not be seen,
hastening a crisis that could be prevented
if they had access to basic care.



I.

Maria Jesus Lopez waits.
They wear on her, the hours,
grind her
like metal
into her wheelchair

She crosses her legs,
tugs her skirt down,
tries to hide her lost foot, says
to Michael, her great-grandson,
I miss my leg

Her diabetes runs wild
again like last year,
the cut that wouldn't
heal, a foot blister that
festered, turned black,
slipped slowly
to gangrene

Had she had her own doctor
had she not, had she not
delayed coming here, the long
wait, she gets tired, she
didn't know, the small
sore, left untreated,
might mean
amputate


 II.

Down the freeway,
at a different hospital

the man's cry --
Emergency
--
spills like a siren
down halls clogged with waiting,
past patients
growing in rows in their seats

He's yelling
Goddamn, give me something
for my pain. Can't you give me
something for my pain.
It's
like this each time he comes here,
he's pacing, he's through waiting

Today, his head shaved,
his camouflage jacket
hides a knife, three loaded
guns, he paces the crowd, shoots
down three doctors

The patient pleads not guilty,
one doctor is near death,
another sells the movie rights

The hospital, they
add guard dogs, bulletproof
screens, guards round the clock,
they install metal detectors

III.

We're told
this is not
war





- Frances Payne Adler © 1993