From this hydrant, I begin to drink The wealth of knowledge, the geyser that Overwhelms with ambition linked To an endless reservoir of defeat. I already feel the bloat setting in, My internal resistance signaling Near capacitance, the visceral Response to give up, to give in, to halt. Fight or flight has never felt so raw, The two diverging at the carina Aspirating the decision into me As they inundate my atria. I can feel the icy hot burn searing My chest and neck from the inside out, The irony of alveolar collapse Rejecting my futile attempt To breathe Just like the titans swimming far ahead Effortlessly whilst I struggle to tread, Clawing at suffocating airways That have yet to surpass elastance And evolve the surfactant that promises Life Beyond the sleepless nights Beyond the next exams Beyond the repeating cycles Of maximal effort and minimal results. I crave the day when the desperation For air to fill my lungs, to inspire And expire the atmosphere, is replaced With an aqueous tidal volume That dissolves the surmounting pain And converts water into air.
From this hydrant, I begin to breathe.
At the start of medical school, you are told the challenge is not in the difficulty of the material, but in the shear volume. Like drinking from a fire hydrant.
Surfactant = lung secretion that keeps alveoli from collapsing