PEDIATRIC HEMICRANIECTOMY |
Angela Tang-Tan

 

There’s bad luck and then 
there’s a five-year-old boy who
goes down at the 4th of July parade:
no gunshot, he just goes down.

In the CT scanner they find a bullet 
lodged in his fourth ventricle. Turns out 
someone shot a gun into the air clear on 
the other side of LA and the bullet 
went straight up to cold blue heaven 
then down into a little boy’s brain. 
You wonder why God didn’t catch it.

A freak accident, the neurosurgeons say, 
scribbling kinematic equations on a 
patient list to try to estimate the force 
of the bullet falling at terminal velocity. 
There’s a little hole in his forehead 
and they need to make a big hole. 
Decompress. Prevent herniation.

All I remember is the hum of the razor,
the smell of vomit crusting the boy’s lips.
his hair falling into a halo around his head.


Angela Tang-Tan is a third-year medical student at Keck School of Medicine of USC. She graduated from the University of California at Berkeley in 2020 with a dual degree in Neurobiology and Psychology before becoming an ambulance EMT during the COVID-19 pandemic. She plans to pursue a residency in neurosurgery. Another poem by Tang-Tan, “Code OB,” appears in the Spring 2024 Intima.

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