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Coma
Federico Betti
There are various types of coma and the causes can be varied. Inducing a pharmacological coma in a patient serves to focus all of its vital energies on the part of the body that has to heal. That's what happens to Luigi Mazza when he is involved in a road accident on the Bologna ring road in one autumn day. From that moment on, many recurring images appear in his mind in oneiric and apparently incomprehensible form, but which will have a considerable weight in the future of the main character and of those around him. Doctors do a great job, Luigi Mazza wakes up from a coma and starts day after day to live his life, but his mind seems marked. Who is Luigi Mazza, but above all, who is guilty of that accident? Why does the man is in that physical and mental condition? There are various types of coma and the causes can be varied. Inducing a pharmacological coma in a patient serves to focus all of its vital energies on the part of the body that has to heal. That's what happens to Luigi Mazza when he is involved in a road accident on the Bologna ring road in one autumn day. From that moment on, many recurring images appear in his mind in oneiric and apparently incomprehensible form, but which will have a considerable weight in the future of the main character and of those around him. Doctors do a great job, Luigi Mazza wakes up from a coma and starts day after day to live his life, but his mind seems marked. Who is Luigi Mazza, but above all, who is guilty of that accident? Why does the man is in that physical and mental condition? His brother Mario, who is many years older, helps him: the two have always been incredibly close, but from that day on they seem to be much more. Even if Mario can not know what Luigi felt and what is feeling in the present. In the end detective Stefano Zamagni together with his men will have the task to shed light in this plot inside the plot with an unpredictable ending.
Federico Betti
Coma
About Luigi Mazza
Translated by Eva Melisa Mastroianni
Copyright © 2019 - Federico Betti
To All the Luigi Mazza and Giovanni Armerini out there
I
Silence and solitude ruled in that hospital room of Bologna’s Ospedale Maggiore. The only noises that could be heard were the ones made by the bystander machines, that the doctors went to check at regular intervals during the day.
For five days the body of Luigi Mazza was lying motionless in a condition of medically induced coma, inducted by the team of expert anaesthetists after the serious car accident that caused him a concussion treatable, according to the doctors, only in that way.
When he arrived at the emergency room in an ambulance, rushed there with blazing sirens from the orbital road of the Emilian county seat, the man resulted in serious conditions and a red code was conferred to him; after a long wait all the possible examinations were made and he was hospitalized prognosis being reserved.
He lived alone: he never even had the intention of getting married, so the only relative that could be helpful to him was his brother, Mario, who, as soon as he received the news from the workers in the first aid, arrived promptly to make sure of Luigi’s conditions, managing, though, to only glimpse him for a moment, while he was moved on a gurney to the room where he was now.
Without realizing anything, Luigi got a daily visit from his brother, who could be limited to only see him through a window pane. He stayed about one hour every day, staring at him in the vain hope of instilling in him the strength of healing, and often he would go away without saying a word even to the doctors.
When he consulted them, the head physician always told him that the man’s conditions were stable and that he needed almost two weeks before getting out of the coma.
“We’ll think about it, when he will be healed”, he guaranteed.
On a regular basis, the doctors made Luigi undergo the exams to keep the situation monitored, trying to report the improvements to the brother.
“A servant told me that the coma was… inducted? Does it mean that you made him go in a comatose state?” asked Mario to a nurse, two days after the accident.
“Yes. It was decided to provoke a medically inducted coma to the patient.”, answered the young man.
“Medically inducted?” echoed Mario.
“Exactly, medically inducted. Don’t you know what that is?”
“No, explain it to me, please!” commanded Mario.
“When a patient is subject to such serious injuries, as it could be your bother’s concussion, the doctors can decide to provoke a medically inducted coma, using therefore drugs. This way all the vital energies are addressed to the damage to be repaired” explained the nurse.
“Thank you for your explanation. May I speak directly to whom oversaw this, so that I could have a prediction of the improvement?” asked Mario.
“You should talk to the anaesthetists. Only they can provoke a medically inducted coma.” rebut the man.
“And where can I find them?”
“You could speak to doctor Parri. But now I think that he’s busy in an operation. He’s usually more available during the morning.”
“I see. So, I’ll look for him tomorrow. Will I find him at noon?”
“Yes. Except for unforeseen circumstances, he goes on his lunch break at 1:30. Then at 3 the surgery starts, so I suggest you speak to him before lunch, so he will almost certainly have some time to dedicate to you.” finished the nurse.
“Thank you” said Mario Mazza right before dismissing and going out of the hospital.
When he was on the road it was almost five in the afternoon and the winter-like darkness was only interrupted by the light of the lampposts.
He went home to get some rest, knowing that, after a few hours, he had to be there again.
II
I’m driving, but I don’t know towards which destination. I don’t even know where I am. In a car. I cling to the steering wheel and in front of me there’s nothing. I don’t understand if it’s dark or light. Me, in front of a steering wheel, that I hold with a firm grasp. And that’s it. Where am I going? I don’t know… or can’t I remember? I can’t hear any noise around or coming from the outside. Provided that there’s something outside. Provided that “outside” actually exists.
I feel like being in an environment in which the void was artificially created. After all, sound doesn’t propagate in void, and that would also explain the reason why I can’t hear any noise around me. Am I in a box hermetically closed? Maybe I’m not in a car but in a I’m inside a driving simulator, as in fun fairs. Yes, maybe I’m at a fun fair, but I don’t know what I came here for. Me inside a simulator. I’m not driving a car. Why am I here? How did I get here? By car. Yes, I probably got here by car.
No, now that I think about it I can’t be in a simulator: I would hear at least some small noise, the gears moving, the piston going up and down.
So that means that I’m in the car. With void around me? Impossible! I must have been brought here somehow. I don’t even know where I am. I can’t figure it out, or I can’t remember. Where am I? And why? What brought me here? And where am I going? Provided that I’m going somewhere. Outside there’s nothing, or is it me that can’t see? I can’t see what’s beyond the steering wheel that I’m holding with my hands. Maybe it’s not a simulator, but there’s a black cloth in front of me, that’s hiding the outside view from me. I’m at a fun fair, not inside a simulator, but on a ride on which you apparently drive a car, o some other vehicle, and you feel like moving, but you’re actually in front of this black cloth and wait for something to happen. But what? And above all, do rides like this exist? I don’t know, or at least I don’t remember ever seeing them…
We-re back to the start. I don’t know where I am. I have no clues that could help me figure it out. At least, I understand that I’m alone and there’s nobody else with me. Wait a moment… I am alone, but it also true that there are no passenger’s seats. It’s just me. In front of me I have the steering wheel and the black cloth, if it’s a cloth. I can’t even understand if there’s glass between the steering wheel and the cloth.
Am I moving, or am I still? Maybe I’m just apparently moving. Maybe I’m going nowhere, I’m still, sitting somewhere, with a steering wheel, a black cloth and nothing around me.
I’m not understanding anything, or anyway I have a lot of confusion in my mind.
If I’m in a car, are there windows? I look at my left: a second black cloth. I look at my right: a third black cloth. And behind me? Another black cloth.
I try to touch with one hand the cloth on my left, but I realize I-m not touching anything: my hand doesn’t find any opposition; it’s like it goes through the cloth, or it is the cloth, not to exist. Cloth or not, my hand is like swallowed by the darkness, and now I can only see my arm. So, I take it back “inside”, next to me, and I find my hand, still there, and not lost how it looked like.
Now I’m holding the steering wheel with both hands. I can’t really figure anything out. Actually, every minute that passes by, I am more confused.
Now I know that I’m driving something, I have a steering wheel in front of me, all around is dark, but there are no cloths. I realize that in this vehicle, if it is a vehicle, the gear shift was missing.
Chaos in my head was increasing.
I don’t know where I’m going, but probably nowhere: I stay here, still, waiting for something to happen.
III
Luigi Mazza’s conditions were stable, with some slow improvement every day, and the doctors were confident. “The body will heal spontaneously”, it was the answer that his brother was given every time he asked for information.
The day after the conversation with the nurse, Mario Mazza managed to speak to the anaesthetist that provoked the medically induced coma to his brother.
“Could you better explain to me what that is about?”, he asked.
“I know that you already were told, in broad terms, what we did” started doctor Parri, “His brother arrived here with a concussion of a non-negligible extent. The medical team of the emergency room, after taking all the possible examinations, believed that the only way to treat this trauma was a medically inducted coma. We administered some sedatives to your brother to induce him in a comatose state, considering that this way his body could ‘focus’ only on the injured part, the one that really needs treatment. We are monitoring all the improvements that your brother is doing, day by day, and I guarantee that they are evident. When we’ll see the complete healing of the concussion, then we’ll wake your brother up: he will stop the consumption of the sedatives and probably we will administer to him some stimulating drugs that will help the awakening”
“I see”, said Mario Mazza after listening the doctor’s explanation. “And how many are the odds that he will completely heal?”, he asked.
“I’d say one hundred percent”, answered optimistically the doctor.
“And that he will wake up from the coma?”, replied Mario.
“Absolute. Personally, I never came upon problems with the awakening after a medically inducted coma. We know which the doses are to give to the patients. Don’t worry about this.” Finished the doctor.
“Alright” whispered Mario in a sigh.
“Now I should go to lunch, I’m looking forward to a quite busy afternoon”
“Thank you, doctor”
“You’re welcome” said the doctor, before taking leave and go towards his office.
Mario Mazza was relieved after hearing those words from doctor Parri: they were positive, optimistic and hopeful.
Federico Betti
There are various types of coma and the causes can be varied. Inducing a pharmacological coma in a patient serves to focus all of its vital energies on the part of the body that has to heal. That's what happens to Luigi Mazza when he is involved in a road accident on the Bologna ring road in one autumn day. From that moment on, many recurring images appear in his mind in oneiric and apparently incomprehensible form, but which will have a considerable weight in the future of the main character and of those around him. Doctors do a great job, Luigi Mazza wakes up from a coma and starts day after day to live his life, but his mind seems marked. Who is Luigi Mazza, but above all, who is guilty of that accident? Why does the man is in that physical and mental condition? There are various types of coma and the causes can be varied. Inducing a pharmacological coma in a patient serves to focus all of its vital energies on the part of the body that has to heal. That's what happens to Luigi Mazza when he is involved in a road accident on the Bologna ring road in one autumn day. From that moment on, many recurring images appear in his mind in oneiric and apparently incomprehensible form, but which will have a considerable weight in the future of the main character and of those around him. Doctors do a great job, Luigi Mazza wakes up from a coma and starts day after day to live his life, but his mind seems marked. Who is Luigi Mazza, but above all, who is guilty of that accident? Why does the man is in that physical and mental condition? His brother Mario, who is many years older, helps him: the two have always been incredibly close, but from that day on they seem to be much more. Even if Mario can not know what Luigi felt and what is feeling in the present. In the end detective Stefano Zamagni together with his men will have the task to shed light in this plot inside the plot with an unpredictable ending.
Federico Betti
Coma
About Luigi Mazza
Translated by Eva Melisa Mastroianni
Copyright © 2019 - Federico Betti
To All the Luigi Mazza and Giovanni Armerini out there
I
Silence and solitude ruled in that hospital room of Bologna’s Ospedale Maggiore. The only noises that could be heard were the ones made by the bystander machines, that the doctors went to check at regular intervals during the day.
For five days the body of Luigi Mazza was lying motionless in a condition of medically induced coma, inducted by the team of expert anaesthetists after the serious car accident that caused him a concussion treatable, according to the doctors, only in that way.
When he arrived at the emergency room in an ambulance, rushed there with blazing sirens from the orbital road of the Emilian county seat, the man resulted in serious conditions and a red code was conferred to him; after a long wait all the possible examinations were made and he was hospitalized prognosis being reserved.
He lived alone: he never even had the intention of getting married, so the only relative that could be helpful to him was his brother, Mario, who, as soon as he received the news from the workers in the first aid, arrived promptly to make sure of Luigi’s conditions, managing, though, to only glimpse him for a moment, while he was moved on a gurney to the room where he was now.
Without realizing anything, Luigi got a daily visit from his brother, who could be limited to only see him through a window pane. He stayed about one hour every day, staring at him in the vain hope of instilling in him the strength of healing, and often he would go away without saying a word even to the doctors.
When he consulted them, the head physician always told him that the man’s conditions were stable and that he needed almost two weeks before getting out of the coma.
“We’ll think about it, when he will be healed”, he guaranteed.
On a regular basis, the doctors made Luigi undergo the exams to keep the situation monitored, trying to report the improvements to the brother.
“A servant told me that the coma was… inducted? Does it mean that you made him go in a comatose state?” asked Mario to a nurse, two days after the accident.
“Yes. It was decided to provoke a medically inducted coma to the patient.”, answered the young man.
“Medically inducted?” echoed Mario.
“Exactly, medically inducted. Don’t you know what that is?”
“No, explain it to me, please!” commanded Mario.
“When a patient is subject to such serious injuries, as it could be your bother’s concussion, the doctors can decide to provoke a medically inducted coma, using therefore drugs. This way all the vital energies are addressed to the damage to be repaired” explained the nurse.
“Thank you for your explanation. May I speak directly to whom oversaw this, so that I could have a prediction of the improvement?” asked Mario.
“You should talk to the anaesthetists. Only they can provoke a medically inducted coma.” rebut the man.
“And where can I find them?”
“You could speak to doctor Parri. But now I think that he’s busy in an operation. He’s usually more available during the morning.”
“I see. So, I’ll look for him tomorrow. Will I find him at noon?”
“Yes. Except for unforeseen circumstances, he goes on his lunch break at 1:30. Then at 3 the surgery starts, so I suggest you speak to him before lunch, so he will almost certainly have some time to dedicate to you.” finished the nurse.
“Thank you” said Mario Mazza right before dismissing and going out of the hospital.
When he was on the road it was almost five in the afternoon and the winter-like darkness was only interrupted by the light of the lampposts.
He went home to get some rest, knowing that, after a few hours, he had to be there again.
II
I’m driving, but I don’t know towards which destination. I don’t even know where I am. In a car. I cling to the steering wheel and in front of me there’s nothing. I don’t understand if it’s dark or light. Me, in front of a steering wheel, that I hold with a firm grasp. And that’s it. Where am I going? I don’t know… or can’t I remember? I can’t hear any noise around or coming from the outside. Provided that there’s something outside. Provided that “outside” actually exists.
I feel like being in an environment in which the void was artificially created. After all, sound doesn’t propagate in void, and that would also explain the reason why I can’t hear any noise around me. Am I in a box hermetically closed? Maybe I’m not in a car but in a I’m inside a driving simulator, as in fun fairs. Yes, maybe I’m at a fun fair, but I don’t know what I came here for. Me inside a simulator. I’m not driving a car. Why am I here? How did I get here? By car. Yes, I probably got here by car.
No, now that I think about it I can’t be in a simulator: I would hear at least some small noise, the gears moving, the piston going up and down.
So that means that I’m in the car. With void around me? Impossible! I must have been brought here somehow. I don’t even know where I am. I can’t figure it out, or I can’t remember. Where am I? And why? What brought me here? And where am I going? Provided that I’m going somewhere. Outside there’s nothing, or is it me that can’t see? I can’t see what’s beyond the steering wheel that I’m holding with my hands. Maybe it’s not a simulator, but there’s a black cloth in front of me, that’s hiding the outside view from me. I’m at a fun fair, not inside a simulator, but on a ride on which you apparently drive a car, o some other vehicle, and you feel like moving, but you’re actually in front of this black cloth and wait for something to happen. But what? And above all, do rides like this exist? I don’t know, or at least I don’t remember ever seeing them…
We-re back to the start. I don’t know where I am. I have no clues that could help me figure it out. At least, I understand that I’m alone and there’s nobody else with me. Wait a moment… I am alone, but it also true that there are no passenger’s seats. It’s just me. In front of me I have the steering wheel and the black cloth, if it’s a cloth. I can’t even understand if there’s glass between the steering wheel and the cloth.
Am I moving, or am I still? Maybe I’m just apparently moving. Maybe I’m going nowhere, I’m still, sitting somewhere, with a steering wheel, a black cloth and nothing around me.
I’m not understanding anything, or anyway I have a lot of confusion in my mind.
If I’m in a car, are there windows? I look at my left: a second black cloth. I look at my right: a third black cloth. And behind me? Another black cloth.
I try to touch with one hand the cloth on my left, but I realize I-m not touching anything: my hand doesn’t find any opposition; it’s like it goes through the cloth, or it is the cloth, not to exist. Cloth or not, my hand is like swallowed by the darkness, and now I can only see my arm. So, I take it back “inside”, next to me, and I find my hand, still there, and not lost how it looked like.
Now I’m holding the steering wheel with both hands. I can’t really figure anything out. Actually, every minute that passes by, I am more confused.
Now I know that I’m driving something, I have a steering wheel in front of me, all around is dark, but there are no cloths. I realize that in this vehicle, if it is a vehicle, the gear shift was missing.
Chaos in my head was increasing.
I don’t know where I’m going, but probably nowhere: I stay here, still, waiting for something to happen.
III
Luigi Mazza’s conditions were stable, with some slow improvement every day, and the doctors were confident. “The body will heal spontaneously”, it was the answer that his brother was given every time he asked for information.
The day after the conversation with the nurse, Mario Mazza managed to speak to the anaesthetist that provoked the medically induced coma to his brother.
“Could you better explain to me what that is about?”, he asked.
“I know that you already were told, in broad terms, what we did” started doctor Parri, “His brother arrived here with a concussion of a non-negligible extent. The medical team of the emergency room, after taking all the possible examinations, believed that the only way to treat this trauma was a medically inducted coma. We administered some sedatives to your brother to induce him in a comatose state, considering that this way his body could ‘focus’ only on the injured part, the one that really needs treatment. We are monitoring all the improvements that your brother is doing, day by day, and I guarantee that they are evident. When we’ll see the complete healing of the concussion, then we’ll wake your brother up: he will stop the consumption of the sedatives and probably we will administer to him some stimulating drugs that will help the awakening”
“I see”, said Mario Mazza after listening the doctor’s explanation. “And how many are the odds that he will completely heal?”, he asked.
“I’d say one hundred percent”, answered optimistically the doctor.
“And that he will wake up from the coma?”, replied Mario.
“Absolute. Personally, I never came upon problems with the awakening after a medically inducted coma. We know which the doses are to give to the patients. Don’t worry about this.” Finished the doctor.
“Alright” whispered Mario in a sigh.
“Now I should go to lunch, I’m looking forward to a quite busy afternoon”
“Thank you, doctor”
“You’re welcome” said the doctor, before taking leave and go towards his office.
Mario Mazza was relieved after hearing those words from doctor Parri: they were positive, optimistic and hopeful.
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