WHITE HOT LIGHT
Twenty-Five Years in Emergency Medicine
by Frank Huyler
Tales from the emergency room, told with no-nonsense brevity, clarity, and compassion. In this long-awaited follow-up to The Blood of Strangers (1999), Huyler returns with more interesting, largely stand-alone stories from his work in an ER in Albuquerque. The author is a much-traveled chronicler who has also published two novels as well as poetry in the Atlantic and elsewhere, and at this stage of life, he displays a certain weariness and melancholy. However, this does not deter from the urgency to do the right thing. So Huyler recounts his lecture to the heroin addict he brought back to life and the process of suturing with painstaking care the facial slash that a man inflicted on his girlfriend with a broken beer bottle. Many of the emergencies the author encounters are truly life or death, and he marvels at a variety of medical advances—e.g., the CPR machine that revived a heart attack victim or the defibrillator that shocked the heart of a man just in time for him to be rushed to surgery. He also expounds on the remarkable nature of the human body. “In the deepest sense our lives are electrical currents,” he writes. “Charged elements—sodium and potassium and countless others—flow back and forth across membranes with impossible complexity.” Huyler enriches the text with sketches of his colleagues and of some of the patients who are ER regulars as well as anecdotes from a life growing up in foreign cities with his teacher parents. Throughout, the author pleasingly describes the various settings. “The winter sun in New Mexico is breathtaking,” he writes. “Driving as it rises is dangerous here. If you let it, it will fill your windshield with white hot light, and blind you in the mirror with its power.” The title aptly describes the illumination Huyler brings to patient care—and to writing about it.