Dramatic Dialogue<\/p>\n
Brief: A conversation between a doctor and a patient. The patient doesn\u2019t know that the doctor has really bad news to impart e.g. The results of a routine medical where something serious has been found. There should be a strong contrast between the doctor and the patient.<\/p>\n
Time: evening time – around 8 pm
\nPlace: A hospital – paediatric cancer ward
\nCast: Emily – Patient
\nJenny – Emily\u2019s mum
\nDr Litt – initial A&E Doctor
\nDr Reynolds- Oncology Specialist<\/p>\n
Scene 1:<\/p>\n
Setting:
\nThe stage is in blackout, except for 1 spotlight on Emily, a fifteen-year-old cancer patient lying in a hospital bed. Emily is wearing a hospital gown and has oxygen pipes linked to her nose. In the background, there is the low hum of machines and a heart monitor beeping. Emily is explaining the journey she has been on at the hospital, with flashbacks to distinct scenes in her childhood.<\/p>\n
Emily:
\nThis is it. I know I\u2019m going to die soon, I guess I\u2019ve always known it was going to happen, I just didn’t know when. But I\u2019m okay with it now. I don\u2019t mind my disease killing me because I know it\u2019ll set my family free, and instead of me taking all the attention when others need it most, it can be shared again. Eleven years ago this whole ordeal started, and it\u2019s been hell ever since. Even though at the time of diagnosis I was only three it didn\u2019t take me long to come to realise that things were never going to change, I was never going to have a normal childhood, it\u2019s hard to imagine what that even means.<\/p>\n
(Blackout.)<\/p>\n
Scene 2:<\/p>\n
Setting:
\nThe lights fade into a paediatrician\u2019s office twelve years earlier. Emily, now a three-year-old girl, is sat on the floor colouring in, while Doctor Litt and Jenny, her mother, are sat across from each other at a desk. The stage is fully lit with a yellow wash, creating a sterile, dry hospital atmosphere.<\/p>\n
Doctor:
\nMrs Stevenson, the bloods we drew earlier are showing that Emily\u2019s white blood cell count is much lower than normal.<\/p>\n
Jenny:
\nSo what does that mean? It could just be anaemia right, that isn\u2019t something unusual for a girl her age.<\/p>\n
Doctor:
\nI don\u2019t know yet. It could be an Autoimmune Deficiency; it could be a lab error. But we\u2019ll need to run more tests before we know for certain.
\n(pause)
\nI\u2019m going to refer Emily to a specialist for now though. In the meantime, we\u2019ll need you to sit tight and be patient.<\/p>\n
(The doctor hands Jenny a business card with Doctor Kate Reynolds details on. Oncology specialist. )<\/p>\n
Jenny:
\n(Panic begins to set in)
\nOncology? But that\u2019s cancer, isn\u2019t it?<\/p>\n
(Blackout.)<\/p>\n
Scene 3:<\/p>\n
Setting:
\nIn a hospital waiting room: Emily is sat on Jenny\u2019s knee, and they are flicking through a children\u2019s book and laughing together. The set should be bright and stark so that all attention is on the actors in the scene.<\/p>\n
Dr Reynolds:
\nMrs Stevenson? I\u2019m Dr Kate Reynolds, Paediatric Oncology Specialist here at Mount View Hospital.<\/p>\n
(Dr Reynolds\u2019 pulls round a chair to face Jenny and Emily, before slowly sitting down, and glancing over her notes.)<\/p>\n
Dr Reynolds (continued):
\nSo, I took a look at Emily\u2019s CBC, her white blood count is very low. (Pause)
\nThe tests also showed that there are 12% Promyelocytes, and 5% Blasts in her blood.
\n(pause)
\nThere\u2019s no easy way to tell you this, but this suggests a leukemic syndrome.<\/p>\n
Jenny:
\nLeukemic?<\/p>\n
(silence)<\/p>\n
Dr Reynolds:
\n(Gentle)
\nCancer.<\/p>\n
(Silence – Jenny reacts to this news, her face dropping and eyes widening.)<\/p>\n
Dr Reynolds:
\nI\u2019ll need a bone marrow sample to confirm, but it seems that Emily has Acute Promyelocytic Leukaemia.
\n(Long pause)
\nI\u2019m sorry.<\/p>\n
Jenny:
\nNo, no, no, this must be a mistake.
\n(Starts to break down emotionally, hugging Emily tight to her)
\nYou\u2019re sure? How can this be possible, she\u2019s three years old? How am I meant to explain this to her?<\/p>\n
Dr Reynolds:
\nMy team are prepping a room now to begin the procedure as soon as possible until we have a definite answer we need you to try and stay positive for Emily. When the time is right we will help you explain to her.
\n(Pause)
\nOnce again, Mrs Stevenson, I\u2019m very sorry.<\/p>\n
(Blackout.)<\/p>\n
Scene 4:<\/p>\n
Setting:
\nThe scenery changes back to the setting of scene 1. Emily is in her hospital bed, with a spotlight on her, the rest of the set is in blackout, as though it is night-time in the ward.<\/p>\n
Emily:
\n(Deflated, lethargic)
\nI practically lived in the hospital from that day onwards. Dr Reynolds had been right. Over twenty-three percent of my cells had been infected with leukemic poison, and it was spreading further every day. By the age of eight, I had dropped out of school completely, too sick to study. I didn\u2019t have friends anymore: no one wanted to be friends with the girl who had no hair after all, and even my mum\u2019s attempts at styling my wig didn’t make me feel much better about myself. The only kids I knew now were cancer kids; those who, like me, spent more time in a ward than their own home. In fact, I barely even remember what my old room looked like.
\nI remember my tenth birthday, a chemo day none the less, my mum and the nurses organised a birthday party for me with the other children scheduled in for that day. It started well, we played pass the parcel from our chairs and a sitting down version of musical statues. Everyone was happy and enjoying themselves\u2026 but the fun and games really began when I became sick just as the cake was being brought over and ended up projectile vomiting all over it.
\nFrom there onwards, the hospital became my permanent home, and it was just one downwards spiral after another of depression and organ failure that threw us over the edge as I reached 14 years old.
\nEven though I knew mum would never stop fighting, I knew the battle would soon be over.<\/p>\n
Scene 5:<\/p>\n
Setting:
\nDr Reynolds and Jenny join Emily on stage. Jenny sitting next to Emily in bed and Dr Reynolds on the other side, she is about to bring another round of bad news to Jenny and Emily. Jenny makes small talk with Emily as she enters, whilst Dr Reynolds checks machines and her clipboard.<\/p>\n
Dr Reynolds:
\nHow do you rate your pain at the moment, Emily?<\/p>\n
Emily:
\n(Chirpy)
\nAround a six today, but it\u2019s better than yesterday.<\/p>\n
Dr Reynolds:
\nGood good. We\u2019ll get some pain relief sorted for you in just a moment. Before I go though we need to discuss your latest check up, Jenny if you wouldn’t mind stepping outside with me for a moment.<\/p>\n
(Jenny and Dr Reynolds move across the stage. Emily\u2019s side of the stage falls to black out, while Jenny and Dr Reynolds stay lit up.)<\/p>\n
Jenny:
\nThere must be some good news right?<\/p>\n
Dr Reynolds:<\/p>\n
I\u2019m afraid not. Leukaemia isn\u2019t just Emily\u2019s problem anymore; the chemotherapy has taken its toll on her body and is causing one of her Kidney\u2019s to completely shut down. Without a match being found soon, there isn\u2019t much left we can do except make Emily as comfortable as possible.<\/p>\n
Jenny:
\n(Distressed)
\nWhat about me? Or her father, one of us must be a match for her. There must be a family member that can help us surely. She won’t be strong enough for much longer, we need to find someone now. Please, I\u2019m begging you, She\u2019s my baby girl and she\u2019s fought too hard for this now.<\/p>\n
Dr Reynolds:
\n(Sighs)
\nSadly, it\u2019s an extremely unlikely circumstance for us to find a donor in your family. There\u2019s only a one in two hundred chance of parent and child having the perfect Histocompatible HLA match. Of course, we will run tests, but the odds aren\u2019t in Emily\u2019s favour anymore.<\/p>\n
Jenny:
\n(Agitated and in shock)
\nNo, you\u2019re wrong. She\u2019s my miracle child, a fighter. She wasn\u2019t meant to live past five years old, let alone be fourteen. She will beat this and when a donor is found she will be strong enough for the surgery. I know my daughter and she can do this.<\/p>\n
Dr Reynolds:
\nI understand Jenny, but even though Emily has stayed with us for so long, her body is weak, and the more dialysis she faces the more infected her blood and body will become.<\/p>\n
Jenny:
\nThen we need to work harder to find a donor.<\/p>\n
Dr Reynolds:
\nYes, but for now we need to ask Emily what she wants to do.<\/p>\n
Jenny:
\nShe\u2019s my daughter and only a child; I know what is best for her.<\/p>\n
Dr Reynolds:
\nYou may feel that way Jenny, but after working with you both for so long now we really need to discuss this with Emily first.
\n(Long pause)
\nI know you don\u2019t want to hear this but it might be time that you contact Make A Wish and discuss with Emily how she wants to spend what time she has left.<\/p>\n
Jenny:
\nBelieve me, I know what she\u2019ll say.<\/p>\n
(Blackout.)<\/p>\n","protected":false},"excerpt":{"rendered":"
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