Emergency Department. Iâve got a patient who came in for an X-rayâbut the department sent her through to us because when theyâd finished she couldnât stand up, and she canât feel anything from the middle of her chest downwards. I think it might be a prolapsed disc or a spinal cord problem, but we really need a specialist opinion. Would you be able to come down and see her?â
âSure. Iâm on my way now,â Erin said. She put the phone down, grabbed the pen to write on the whiteboard and smiled at the receptionist. âIâm stating the obvious hereâIâm going down to the Emergency Department.â She wrote her whereabouts next to her name on the whiteboard, and was just about to leave the unit when Nate came round the corner.
âJust the man I wanted to see. Are you up to your eyes, or can I borrow you?â she asked.
âWhatâs the problem?â
âThe Emergency Department needs our specialist opinion. Our patient might have a spinal cord problem, which would be me; or she might have a prolapsed disc in her neck, which would be you.â
âIâll come with you,â he said.
âThanks.â She smiled at him and scribbled âED with Erinâ next to his name on the board.
Downstairs in the Emergency Department, she found Joe Norton and introduced Nate to him. âDepending on the problem, it could be either one of us, so weâre saving a bit of time,â she said.
âThank you both for coming,â Joe said, looking relieved, and took them through to the patient. âThis is Mrs Watson,â he said. âMrs Watson, this is Dr Leyton and Mr Townsend from the spinal unit.â
Erin noticed that Mrs Watsonâs face was ashen and she was trembling slightly. Clearly her sudden inability to walk had terrified her and she was fearing the worst.
âDr Norton called us down as weâre specialists in the area where he thinks the problem liesâso please donât be scared, because weâre here to help,â Erin said gently. âMrs Watson, we know some of your medical history already from Dr Norton, but would you like to tell us in your own words about how youâve been feeling?â
âCall me Judy,â Mrs Watson said in a shaky voice.
âJudy. Iâm Erin and this is Nate. Heâs a surgeon and Iâm a neurologist,â Erin explained, âso hopefully between us we can sort everything out for you.â
âIâm so scared,â Judy burst out. âIt must be really serious for them to have called you. Does this mean Iâm never going to walk again?â
âNot necessarily, so try not to worry,â Erin said.
âI know thatâs easier said than done,â Nate added, âbut tell us whatâs been happening, and that will help us to work out what the problem might be and how we can help you.â
âIt started a few months ago,â Judy said. âI kept waking up with my right hand all numb and tingling. I thought I was just lying on my arm in my sleep, so I didnât want to bother the doctor with it. But then I woke up last week feeling a bit flueyâand after that I started getting real pain in my neck and shoulders. I took painkillers, but they didnât do a lot.â
The symptoms were starting to add up for Erin; she glanced at Nate, who mouthed, âTM?â
She gave the tiniest nodâsheâd been thinking transverse myelitis, tooâbut said to Judy, âThat mustâve been worrying for you. Did you go to see your doctor about it?â
âYes, and he said he thought it might be carpal tunnel or it might be a problem with my neck, so he was going to refer me for an X-ray.â Judy bit her lip. âThatâs why I came to the hospital today. I thought I was just going to have an X-ray and then everything would be sorted outâbut then, when it was over, I couldnât stand up, and I