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A Breath Returned: The Day Instinct, Chaos, and Comedy Collided

What a choking patient taught me about instinct, compassion, and the breath we’re all trying to reclaim.

By Karen SandersonPublished 2 months ago 3 min read
A still hallway, moments before instinct turned a normal shift into a story I’ll never forget.

Some shifts start ordinary and stay that way. Then there are the ones that flip your stomach, test your instincts, and leave you wondering what on earth just happened. This was one of those days—quick, sharp, chaotic, and unforgettable.

Everything was fine until it wasn’t.

My patient was swallowing her morning meds like she always did. Routine. Calm. Predictable. I expected a simple “thank you” and a chart update. Instead, I watched her expression change in an instant. Her eyes widened. Her hand froze mid-air. She didn’t cough. She didn’t wheeze. She didn’t make a single sound.

Nothing.

Just silence—the wrong kind.

There’s a specific look people get when their airway disappears. It’s raw, primal fear mixed with shock, like their mind is trying to process something their body no longer has time for. Fear tried to grab me, but instinct shoved it aside. My body moved before my thoughts caught up.

I hit the emergency button, climbed into the bed behind her, and wrapped my arms around her to start abdominal thrusts. Not perfect technique. Not pretty. Just focused and fast. Save her breath. Get something to move.

A therapist had tried already—no luck. The room shifted into that awful, suspended quiet where everyone is breathing for the person who can’t. It’s the kind of silence that stretches every second until it feels like a full minute.

Then came the grand entrance.

A whole crew of doctors walked in at exactly the most awkward moment imaginable: me straddling a patient in the bed like an untrained stunt double mid-scene. They paused in the doorway, all wearing the same expression—a strange mix of concern, confusion, and the tiniest spark of “Is this actually happening?”

I didn’t care what I looked like. Pride wasn’t important. Air was.

Her face tightened. My heart pounded hard enough to feel in my throat. Every thrust felt heavier than the last. The therapist stepped back. No one spoke. The room was waiting for something to change.

Then it finally did.

A gasp—tiny, shaky, but real.

Then another.

Then her voice.

Relief swept through the room like someone cracked a window open during a storm. You don’t realize how much you’re holding your own breath until theirs returns. She was breathing, she was talking, and the color was slowly sliding back into her face.

Crisis over, right?

Not quite.

Because suddenly I became painfully aware of something important:

I was still in the bed.

And not gracefully. Not perched on the edge like a professional. No—I was tangled in the side rail with my foot caught, balance all wrong, and a full audience watching me try to extract myself like a newborn giraffe learning to walk.

One doctor tried to hide a grin. He failed. Honestly? Fair.

I managed to untwist my ankle from the rail, climb out of the bed, and pretend I hadn’t almost face-planted onto the floor. She was okay. That was what mattered. My dignity? Optional and easily sacrificed.

Here’s what I walked away with—besides bruised pride and a slightly offended ankle:

We don’t get to choose when life demands action.

But we do get to choose how we show up.

That moment didn’t wait for perfect posture, technique, or ego. It needed instinct. It needed compassion. It needed a human willing to climb into a bed, tangle in a rail, and fight for a breath that wasn’t their own.

Life outside the hospital isn’t much different.

Not everyone chokes on medication. Some people choke on fear, grief, burnout, stress, heartbreak, and life hitting too fast. And sometimes they just need someone to step in—messy, imperfect, human—and help them breathe again.

Today, I helped someone reclaim a literal breath.

Every day, I help people find their emotional one.

humor

About the Creator

Karen Sanderson

LPN, caregiver coach, and storyteller of the chaotic, beautiful, and painfully human moments that happen on the front lines. I write about instinct, resilience, humor in crisis, and the breath we fight to reclaim — in hospitals and in life.

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