Sometimes things happen to you that change your perspective. Sometimes, I feel this is God’s way of taking us down a notch. In the best book ever written (not counting the B-I-B-L-E) Atticus Finch says You never really understand a person until you consider things from his point of view…until you climb into his skin and walk around in it.
It’s been about a week now, and I think I can talk about my experience, although I am still kind of PTSD about it all. Last week, I was VERY ill. You may not have realized, as I’m not one to put every disgusting detail of my existence in my Facebook status. And I still won’t go into it, except to say that it involved not one, but two, receptacles. Draw from that what you will.
This particular type of illness can be problematic for anyone, as you run the risk of dehydration, electrolyte imbalance, etc. However, when you have a crap pancreas, these risks are compounded. Stupid insulin is stupidly connected to every other stupid thing in the body, so if one stupid thing gets out of whack, you can go south pretty quickly. And so, I made the executive, pancreatic decision to go ahead and go to the ER. (I did not go to the ER at either place I work. I have this thing about people up in my bidness. Plus, both of those places are FAR and I only had about a twenty-minute window to get somewhere ifyouknowwhatI’msayin.)
I’m telling you that so I can tell you this. Everyone who works in a hospital should have to be in a hospital as a patient for at least one night. It will completely change your outlook. Sure, having a relative in the hospital may bring some enlightenment, but until you are the one lying in bed, all twisted up in sweat-soaked sheets, cursing the relentless tick, tick, tick of the big black clock on the wall, you will not understand.
In short, it sucks. Besides the obvious sucking to be sick, it sucks on many other levels. (And no, I’m not talking about the hospital gown. Oh, ha ha everyone can see your butt ha ha. That old chestnut ranks right up there with Don’t drop the soap in prison and Cats! is a crappy musical. We get it. Let it go.)
First off, the concept of time as we know it in the outside world is completely absent. Ten minutes may seem like two hours. Two hours may go by like ten minutes (especially if you just fell asleep and the evil, bearded vampire phlebotomist comes into your room at 3am to drive nails into your wrist.) The noisy-ass clock in every room is irrelevant. There is existence, but it cannot be measured in minutes or hours.
Second, you have very little control over anything. You may ask for things, but you are at the mercy of your caregiver(s) as to whether or not—and when, in the vast gaping maw of timelessness—you will get them.
Small things you may take for granted become huge. My kingdom for a Chapstick!
My other kingdom for a TV remote that works without my having to hold my arm at a 75-degree angle!
What might be a simple cord or wire in the outer world becomes a tangled, constricting nemesis. Tubing in one arm. A blood-pressure cuff on the other, set to inflate every hour. And by inflate, I mean completely cut off your circulation such that at any moment you expect you arm to turn black, fall off, and land on the floor with a resounding thud. Telemetry boxes with fifty-seven leads stuck all over your torso with superglue, and IV pumps that sound like the everlasting gobstopper machine. Turned to 11.
And there is no sleep. Not only is it impossible to sleep when you’re wired like a Yankee’s Christmas lawn, even if you could manage a modicum of comfort, you will NOT be left alone for periods exceeding three or four hours. To illustrate:
10:00 Arrival at ER
10:15 Admitted to ER
10:30 IV started; medication given
10:45 Carted off for CT of abdomen
10:55 Back to ER holding room
10:55-18:00 Poked, prodded, covered, uncovered, tagged, untagged, scanned, pricked, injected, assessed nine ways from Sunday, answered same five questions forty-three times
18:00 Moved to ICU bed due to shortage of RN staff on medical floor
18:30 Answered same five questions for the forty-fourth time
19:00-20:00 Blissful hour alone due to shift change
20:05 Moved to regular floor
20:30 Vitals taken
21:00 Meds
22:00 Grape popsicle (highlight of visit, btw)
23:30 Labs drawn. No, I’m not kidding. LABS. At 11:30 at night.
23:30 – 03:30 Fitful tossing
03:30 Evil bearded vampire phlebotomist visit for guess what? LABS.
03:35-04:45 More fitful tossing
04:45 Vitals
05:00 LABS!!! Grrrrrrrrrrrrrr.
05:05-07:00 Actual sleep
07:00 Meds
07:05-08:30 Another blissful period without interruption. God. Bless. Shift. Change.
08:40 Jello and Diet Coke for breakfast
09:00 Wallowing in bed until MD came to assess
10:10 Discharged
Despite my approximate 24 hours of discomfort, I received superb care (sans evil bearded vampire phlebotomist.) I cannot even begin to imagine how much it would suck to have poor care.
In my particular line of my work, it’s all too easy to adopt a separatist viewpoint. I tend to think of the pharmacy as an entity unto itself. A medication order is little more than words to type in, a label to print out, and a med to send up before it generates a phone call. In, out, done. Repeat.
I operate in terms of medication—rather than patients:
Has anyone seen an order for Mrs. Smith? A tech asks.
I don’t think so. Do you know what drug?
Zithromax.
Oh, yeah, I did that 30 minutes ago.
And it’s almost perfunctory to be glib when a patient’s family complains because a med was late to the floor or not given on time.
What do they think this is? The Ritz-Carlton?
It’s also so easy to become frustrated with nursing. Make no mistake, I hold nurses in the highest regard and consider them THE backbone of healthcare. Yet I’ve been known to crab when they hound me with phone calls.
They act like they have the only patient in the hospital. They have eight patients. I have 608.
However, my recent stint on the opposite side of the chart was the healthcare equivalent of Robin Williams making me stand on top of my desk. I now have a new found empathy for the patient.
Maybe I could take a cue from the nurses. Maybe treating each patient as though he or she is the center of the known universe is not such a bad idea. Maybe, just maybe, the one patient I’m working on in the moment is the only patient who matters. In that moment, the Percocet for Mr. Jones is the only order I have.
Maybe what I need to stop and realize is somewhere, on the other end of each hastily scrawled order, there is an actual human being—perhaps alone, quite possibly frightened, in pain or discomfort, feeling his or her absolute worst and longing for swift relief, however fleeting.
Throughout my pharmacy training and career, I’ve often been encouraged to picture each patient as a loved one. But I think perhaps healthcare provision as a whole might be better served if each member adopted a more selfish approach to his or her job.
That little old lady crying because her hip hurts isn’t your grandmother. The man across the hall with chest pain isn’t your dad. The new mom who can’t stop bleeding isn’t your sister…
They’re you.