Most of my veins are pathetic. They see the blue scrubs coming towards me, the alarm goes up, and panic ensues. No amount of hot water, fist squeezing, skin slapping or rubbing will encourage one brave vein to volunteer itself for national service. Eventually the junior doctor digs a vein up from the deep, and it reluctantly accepts its new profession..but its heart isn't in it.
All except one vein. This is a power house of a vein. It hides in one of those rare body black spots, just below the elbow area. If veins are the civil service of the medical world, this vein is the Cabinet Secretary. It is in an awkward place, and doctors don't like to use it...but i insist, this vein never lets me down. What makes this vein so amazing?
This vein is a big ol' vein. It takes large bore cannulas with a quiet dignity, knowing that its union with the plastic is a professional one only. It is a deep vein. Taking its cannulation duty seriously it pops up to the skin by just the right amount to allow regular insertions. It does not concern itself with fickle relationships with smaller veins...it makes its way immediately to an artery to ensure any medication quickly finds its way around the body. This vein is resilient. Over 6 weeks it was cannulated over 20 times. It was unfair of me to put it in such a position, but it did not complain and never let me down. Once these regular cannulations were over, it asked for a rest...and i proudly obliged.
In a few days the cannula will need to come out. We know this, and are prepared for it...we are enjoying the time we have left. Once the vein and the cannula part ways, the vein will not shed a tear, for it knows that without the reliable and honourable Cabinet Secretary, the Prime Minister will not survive.