Showing posts with label hospitals. Show all posts
Showing posts with label hospitals. Show all posts

Thursday, March 18, 2010

A Typical American Hospital - Overworked




There's a medium sized hospital where I've just been visiting the past couple of days.
My guy had to spend a couple of nights and he's fine now, but it was an educational experience.

I don't handle hospitals well now - I spent too much time there with both my parents and I imagine a psychiatrist would tell me I've got some lingering emotional trauma. I'd just say I'm not happy in a place I now associated with so much sadness.

I don't hold the hospitals or the staff responsible. My experiences with my mother were sometimes remarkable and sometimes nightmarish. I remember the young nurse who ignored my mother's complaints that her "arm was burning." She paid attention when I went to get her two hours later in the middle of the night. A vein had collapsed and the IV fluids had backed up; mom's arm was three times its normal size.
Other nurses visited every day when my mom was in a coma, talking gently to her, wiping her face, smoothing her hair.

My father was lucky enough to die at home.

I've spent some time in the past year with another loved one who recovered nicely and was treated very well, but this latest visit was the first one in the midst of this economy. And there's a difference.

Nurses are working long hours, working hard and being asked to work more. The ones we dealt with in this small city hospital were wonderful; kind and caring. They treated their patients like people, not like ailments.

But I heard more than one nurse tell us that she'd be with us all day, through the night and into the following day. And I heard some RNs and LPNs discussing phone calls asking them to work an extra shift.

It's become like a police or firefighter schedule; put in an entire week's worth of hours in one long stretch, then go home.

How do they do it? And how long can they last even if they manage to stay alert, make no errors and continue to treat their patients with compassion and patience?
What's the burnout rate?

The most telling example for me was an elevator ride home late in the evening. I was joined by a young nurse who was holding a sandwich wrapped in plastic.

"My dinner," she said ruefully.

"You look beat," I said.

She nodded. "I'm completely exhausted. All I want to do is go home and fall into bed. I doubt I even eat the sandwich."

The elevator reached the lobby and we said goodbye. And I realized that this is her life; work hard to make ends meet, take care of people who desperately need care, and sacrifice yourself in the process.

Like so much else today, it's not sustainable. And no one will do anything until there's a tragedy or a massive crisis. Maybe this is one time we should be talking about the problem before the crisis.

Sunday, October 5, 2008

Hospital-ity


Earlier in the week my son had back surgery. I was terrified.

It went alright, but he had a bad reaction to anesthesia and had to be kept overnight.

Big sigh of relief - he's doing very well.

And I came home to find HSO flat out on the couch, having spent the past five days getting progressively sicker.

Off we raced to the local hospital after the doctor at the walk-in clinic in town said, "Go."

"I do not want to." HSO was adamant.

But thankfully he went. They helped. And I was amazed at how many nurses and doctors manage to maintain their compassion and humanity despite seeing one horror story after another.

The nurses who took care of my son took his care personally. They treated him the way they'd want their own child treated. The nurses and the doctor who took care of My Guy were equally kind.

They didn't blow us off when we said his pain was unbearable...they brainstormed ways to help. They gave him all the time he needed to be sure he was comfortable enough to go home. They cared.

Going to the hospital is a combination of fear and trust. We put our faith in their expertise, hoping they'll figure out what's wrong and be able to help us mend. But we are afraid because we are helpless once we're there. We've admitted we can't do this on our own and we have to put our faith in strangers, believing they're competent, they're interested and they won't cause us unnecessary discomfort.

But letting go of control is very, very hard. And watching strangers treat the people dearest to me gnaws a whole into the center of my gut which churns for days afterwards.

It's fear. And I'm grateful that the overworked, stressed, underpaid people who I've dealt with in this past hellish week have done their very best. It was very good.

Thursday, October 2, 2008

Tyranny and Tears

A rough few days...my son went into surgery yesterday for a back problem. He's 21 and years of basketball apparently created havoc somewhere in there, leading to constant pain and the sad sight of a handsome, tall fellow hobbling like an arthritic senior.
The surgery went well. But the anesthesia didn't. He's squeaky clean, this guy, and he's never been hit with anything like the load of drugs they pumped into him. They expected him to go home the same day. No way. He was sick for hours and was finally admitted overnight.
He's home now and recuperating, but I spent an entire day worried that we were headed for disaster. I am a worrier. I admit it. But come on...your child is having a bad reaction to drugs and they pump a new one into his IV after saying, "Is he allergic to this?"
I wanted to scream.
I DON'T KNOW! HE'S NEVER TAKEN ANY OF THIS BEFORE!!!
So they took their chances, it was all right, and I spent 15 minutes waiting to see if he'd go into shock. Overreacting, you think? I've watched his sister start to go into shock after being given an antibiotic no one knew she would prove to be allergic to. It's terrifying.
I'm tired and I'm dying to get back to my own bed and I'm very relieved he seems to be alright.
And this, despite all the bad news these days, gave me some hope...

Watch and see if it doesn't inspire you.

The Threat of Tyranny