Get to Know Jack

I had to share this video - it's impacted me in a way that not many have. What a brave young man.

Oh Denver Reader...

If the posts on this blog "piss you off," you should read this one. She's got a huge following!

Dealing with Anger

Well it seems that this blog has hit a "nerve" with a reader in Denver, Colorado - a reader with some serious anger issues - and someone who obviously had a horrid birth experience. In response to the "Rules of Labor and Delivery" post, which was something simply posted as an example of "labor humor," it certainly elicted a few posts of rage from this individual. And I don't blame her. Sadly, she is of the opinion that I wrote these "rules," (which I didn't by the way - they're easily found on the web) - but in being challenged "not to post it" - I put it in the open for all to read. Her email is an example of poor nursing - but her anger needs to be directed at the hospital and medical personnel that took care of HER - not on a blog! She challenged me to post - I challenge her to not be "anonymous!"

Here's her first post to me:

Piss you off? Let me tell you about pissed. My L&D nurse gave me a drug that she SAID was pitocin. Later I found out that it wasn't pitocin at all, but Cytotec, inserted vaginally, against my will, begged her not to, she told me I didn't know what I was talking about. At the time I didn't know what cytotec was. What I did know was that the first dose started contractions so hard and so fast I couldn't breathe - and neither could my baby. The whole day all they told me was to suffer through the pain. The whole day they told me my baby was in distress and they would do nothing except tell me I was paranoid and she was fine. When I asked them how she could be in distress and be fine at the same time, they got very nasty and told me that they were the professionals and I was the patient and I had to trust them.

Not only did they give my cytotec, they gave me vistaril, demerrol, pitocin and an epidural within an eight hour period of time. I was unconscious for nine hours and they weren't the least bit concerned.

When they saw my baby was suffering bradycardia for three hours, they did nothing. When they saw that she was suffering tachycardia for two hours, they did nothing. When she was suffering shoulder dystocia upon delivery, they said nothing.

They spent AN HOUR rescusitating my baby and they never said a word.

When I asked the nurse what her Apgar scores were, she told me the one minute score was not important but her five minute score was six.

They didn't know for three days that they had broken her collar bone.

When I asked why should wouldn't wake up, they told me she was tired. When I told them she won't nurse because she can't wake up, they told me she won't let herself starve. When I asked them how it was that my baby's collar bone was broken, they told me it was NORMAL.

They told me it was NORMAL for a baby to sleep for nine days solid. They told me it was NORMAL to spike a 103-degree temperature in labor, and they told me it was normal to have to stop pushing to vomit - TWICE.

Piss you off? My baby suffered severe brain damage because of the CARE I got from nurses and a doctor who DIDN'T care enough to do their jobs, who did nothing but lie to me and tell me I was paranoid.

My next two children were born with certified nurse midwives, the BEST experiences of my life. They were caring and sensitive to my concerns, they told me everything up front and more than anything, they knew what the hell they were doing.

I thank God that my friend - who would have pissed you off - was there, because while I was unconscious for hours on end in the labor room, she was taking notes.

Difficult patients who think they know everything? Arrogant B**ch! I hope you get a nurse as careless as you. Maybe then you'll understand what it's like to have to trust someone who doesn't give a damn about your life because the only thing she's concerned with is how much time she's got left on the clock before she can go home.

I realize that you probably won't post this, but you know what? Someone needs to care about women and their health, and it's clearly not L&D nurses.

So nurses in Denver - are you reading?

Sometimes You Just Have to Laugh

I can't tell you when we've last had so many moms coming to deliver that present with positive drug screens - cocaine, benzos, marijuana, etc. - and the resultant Children's Protective Services contacts and the relinquishment of these innocent babies. It gets to the point where sometimes you need to be gently reminded why you "do what you do." This makes me smile:



I don't know what's more beautiful - the laughter of the baby, or the obvious joy heard in his father's laughter.

This is my all-time favorite laughing baby video - I just love to hear the joy in the mother's voice as she listens to her daughter laugh for the first time.

I Want to be Induced

"You're all a bunch of dumb ##)#N#(@_#(#("

This is the statement that greeted us all when we had to tell a patient that she couldn't be induced "on demand."

Seems this young lady was a few days overdue and went to her physician's office demanding to be induced because she was "tired of being pregnant." After trying to explain to her that her induction was already scheduled for a mere 36 hours later, and that the hospital was extremely busy and couldn't accomodate her immediate request, she became irate and proceed to tell her Obstetrician off with a few choice words. She then said, "Well I'm just going to go over to the hospital and demand to be induced there." He basically said to "have at it."

So, she shows up with her momma in tow and demands to be induced. Now keep in mind we already had 8 patients in labor and so her request was denied and we attempted to explain to her why we couldn't do it at that time. Not to be outdone, she proceeded to tell all of us off as well.

That's when the charge nurse steps in and says, "well maybe we can accommodate you 5 hours from now when things calm down." Argh! Just once it would be nice for our charge nurse to actually back us up!

Anyway, this kind, sweet, nice patient shows back up for her "induction on demand" last night. Sweet as pie. But of course she's already made a lasting memory on those nurses who were privileged to be witness to her verbal rampage.

Comments from staff included, "Let me start her IV and miss a few times." "Let's put her near the nurses station so we can keep her up all night." "Let's up her pitocin double time and show her what labor is really like."

I guess nurses really don't like being told off!

I Went Into Nursing For This?

Well...

Maybe this blog will turn into a "book review" site of sorts it seems. Or maybe I'm just seeking to find validation as to why I chose nursing as a profession so many years ago.

I recently read this book, "A Nurse's Story" by Tilda Shalof and was really impacted by some of her stories. I hope she doesn't mind that I share a bit of one chapter here that articulates what I've always tried to convey to friends and family but just couldn't seem to find the words - whereas she did!

In school, they'd taught us how important it was to offer empathy to our patients. Sympathy was wishy-washy, sentimental. Empathy was the ability to perceive and feel another's pain. One was supposed to share the patient's "lived experience of illness." One was supposed to get inside the patient, see things from the patient and family's point of view, think and feel like the patient, take on what that person was experiencing. All of this was in order to know them intimately and only by knowing them in this way could the nurse give the greatest gift: empathy, the hallmark of the professional nurse.

What profession other than nursing was defined by this degree of emotional involvement? Even social workers could keep their distance with words and paperwork. Teachers could choose to get involved in students' personal problems, listen, empathize, and draw them out, but they could also choose not to do so and stick to their subject matter and still be excellent teachers.

However, a nurse who was not sensitive to a patient's emotions, who did not help to assuage bad feelings, who did not offer the ultimate gift of feeling for them - empathy - was simply not meeting a basic requirement of the job.

Did those who taught us ever realize what a demand it was on young (mostly) women (by far the vast majority of nurses) whose boundaries were often so permeable and pliable? Had anyone ever considered the toll such emotional receptiveness took on most of us, both male and female? Why wasn't it covered in the lectures and textbooks of nursing - how one could stay sensitive to the patient's experience, see things from their point of view, be compassionate, and still manage not to get pulled down with them into despair and sadness, or be affected by their anger and frustration? Otherwise, who could do this work effectively for any length of time? Who could sustain it into a lifelong career?

There were many times when we felt empty, bereft, overwhelmed by the demands - the emotional ones much more than the physical ones - of being nurses. Sometimes it seemed that the work asked too much of us, not only as nurses, but also as human beings. Who can give so much, so selflessly? In order to do this work you had to be selfless, because to do it properly, you had to become without a self. You might have a self, but you had to subordinate it, obliterate it at times, in order to meet other people's needs.

We were not supposed to have our own needs. Yes, we were tired and hungry, but who cared? Certainly not the patients, who were mostly unconscious and totally dependent on us. Definitely not the families, who expected complete devotion from us and seemed to resent it when we took a break or even when we got up to leave at the end of a twelve-hour shift and they had to become accustomed to the style and idiosyncrasies of a new nurse.

Birth: The Surprising History of How We Are Born

Interesting book by Tina Cassidy. From her book:

"Most dilating women today arrive at the hospital during the late shift, when the staff is reduced and the least experienced doctors are working. More senior obstetricians have the privilege of working business hours, while exhausted residents, living on pizza and donuts and the occasional nap on a cot, attend to the overnight customers. However, the dearth of well-rested, experienced doctors working overnight, and the lack of hospital services that are available only during the day, can have devastating consequences."

"Babies born late at night have as much as a 16 percent greater chance of dying than babies born between 7:00 am and 7:00 pm, a 2005 study found. This spike in overnight infant deaths may be attributed to the quality and number of doctors and nurses during these dark hours."