I will realize, eventually, that six-year-old Brennan is her only patient. She is here just for him. And for us.

Machines and monitors whir in the dark, chilly room. It is like stepping into a vacuum. There he is, so small on the hospital bed. Unconscious or simply asleep, I don’t know. A white bandage covers the right side of his head over his ear, where surgeons operated on the fractured skull, the nicked artery that resulted when he fell down the basement stairs at a friend’s house, landing heavily on the concrete floor below.

Brennan’s eyes flicker open; enormous brown eyes in a pale, pale face.

“Brennan. Hey, Brennan,” my husband, John, and I whisper at his side. He turns to look at us. I want to pull him into my arms. I touch his hand. “Hey guy.” His eyes close again.

“He’s still coming out of the anesthesia,” the nurse says. “It will be awhile. He was out a long time.” Then: “Climb right up there, mom.” I stare at her. Tammy, her name tag says. She nods. “Go ahead.” And already I am flooded with gratitude toward her.

I begin pulling off my boots—the stupid red boots I bought a few days ago, a lifetime ago, when I was a person who could have cared about boots. Tammy hands me a set of scrubs to pull on instead of my skirt and sweater. “These will be more comfortable,” she says.

I will realize, eventually, that six-year-old Brennan is her only patient. She is here just for him. And for us.

With John’s help I climb into the bed and lie on my side facing Brennan. The sharp smell of antiseptic masks his familiar, salty, little-boy smell. My tears are still coming; for hours they’ve streamed down my face uninterrupted, but now I try to wipe them away before they seep into the sheets. Breathe, I think. Breathe.

There are conversations. He did well, they stopped the bleeding, cauterized the artery, evacuated the blood pooling in his skull. The CT scan looked good. He’s not out of the woods yet, the surgeon says. Brennan’s brain might swell from the trauma, or not. All we can do is wait. There are phone calls to make. My mother crying. A message left on my sister’s voicemail: Call mom.

My anxiety pulses along with the thrum and beeping of the monitors. The dark has receded. I can breathe. I am still riding this wave of fear, but I do not feel alone.

When you have a newborn, you are at first overwhelmed, and then, suddenly, you know more about him than anyone. The dozens of motions required to care for him become automatic, almost involuntary, like your beating heart and breathing lungs.

This is the way Tammy cares for Brennan. Checking his vital signs, repositioning him on the bed, administering different medications through the IV. A constant quiet vigilance and countless acts of caretaking that are almost invisible because she performs them unselfconsciously. She is young, maybe not even thirty. I don’t know if she has a family, children; she doesn’t talk about herself.

I don’t think I will fall asleep, but I do, at some point late into the night. Then I jerk awake, gasping. “It’s just me,” Tammy’s voice whispers from nearby, “Sorry.”

And later, another sound. Brennan coughing vomit onto the white hospital blanket. I sit up and hold him and Tammy is at his already at his side, supporting him. He does not fully wake up. She mops his face and lays him back down. She tells me to grab the corners of the pad beneath him and together we slide him to one side (“Ready? Lift.”) She effortlessly strips the blankets from around him and remakes the bed, swift and quiet, not even waking John, who is sleeping on a built-in cot behind the hospital bed and monitors. I can’t see him but I know he’s there.

She brings me a clean set of scrubs and I climb back in the bed.

“Is the vomiting from the anesthesia?” I ask.

“The injury,” Tammy says softly, and I close my eyes again.

She pulls a blanket over me. “I’ll be right here.”

Deep into the night there is some activity and conversation outside our room, after which one of the neurosurgical Fellows comes in—the young one, kind, who had stood beside me in the ER handing me tissues. He tells me we’re being moved. The beds are full and there is another patient coming in. He tries to frame this as good news: Brennan is in better shape than anyone on the floor.

Heart pounding, I am on my feet asking questions. Where will they take us? How often will they check on him? There is no step down unit, so Brennan will now be a regular patient. Instead of a nurse assigned to him—instead of Tammy—he will share a nurse who will check his vital signs every four hours. No, I think. No.

Not out of the woods yet. Those were the neurosurgeon’s words and I repeat them back to the Fellow several times. I say I want to hear from the neurosurgeon himself.

He steps out of the room for a minute and, in that moment, Tammy moves beside me, leaning down as she folds something and sets it on a chair.

“You’re doing the right thing,” she says quietly, never looking up. Her voice is a low hum, reaching out to me.  “You need to advocate for him.”

We manage to put the move off, a least for now.

When, hours later, they wake me again to move us to the surgical floor, the young neurosurgeon sits and explains all the reasons they believe Brennan is progressing well. He promises to check on Brennan himself, and says he will camp out in the room across from us for the night, if we need anything.

I don’t want to leave. But as we guide Brennan’s bed carefully through the halls to the surgical floor, Tammy tells me she is taking us to a room directly across from the nurses’ station. “Page them any time you need them,” she says. “For anything at all.”

As a team of people sets Brennan up in our new room I see Tammy speaking intently to the nurses; one meets my eyes and comes toward me to talk.

I look toward Tammy, wanting to say something more than thank you. But she is already moving away, on toward her next patient.

I move close to Brennan, not even considering sleep. I stare at him and listen to his breath sounds. I take in the long eyelashes someone commented on in the ER, the freckles standing out against his pallor. I look out the window of this new room, where it is still dark outside, not quite morning. The sun has not yet come up, but it will.

Karen Dempsey is a Brain, Child contributing blogger. She has written for the New York Times Motherlode blog, Babble, and Brain, Child. She lives in Massachusetts. Read her work at www.kdempseycreative.com. or follow her on Twitter.

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