Wednesday, October 28, 2009

You know, people always put so much faith in doctors. "Doctors are so intelligent", "Doctors will tell us what to do", "Doctors will save us".

And you know what? Sometimes you're right. But from working as a nurse for so long, I have come to see a different side of the coin.

Doctors are pompous. Doctors disagree. Doctors are mean to patients. And Doctors are frequently wrong.

I saw something take place yesterday, between one of my patients and a doctor, that I have been unable to shake out of my head.

His callousness and basic disregard for dignity and privacy appalled me. It has been 24hrs and I am still fuming over it.

He came in, handled her pain and cancer riddled body like a slab of meat. Performed a procedure that required pain medication and freezing beforehand, without any. Did not pull her curtain to perform this procedure, then left the room with her exposed to the waist. He also did not clean up after the procedure and left everything just lying in her bed. He didn't even cover her wounds and she bled like a stuck pig all over the bed.

I am so angry, I am almost vibrating. The disregard that doctor showed for this poor patient, just sickens me.

I walked into her room to find her sobbing and bleeding and I wanted to cry too, but I sucked it up, dried her tears, got her some pain medication, cleaned and bandaged her wounds and changed her blood soaked sheets. There was nothing else I could do. He is a doctor and I am a nurse. I am the low man on the totem pole. There is no recourse for his behaviour. What are they going to do? Fire him because he's a complete and utter ass? Not on your life.

Unfortunately, there is generally no time for a nurse to cry her little eyes out with the patient....because that is exactly what I felt like doing with this poor woman. But, there is only time to react to the situation and help the patient.

Most nurses cry after the fact, when the trauma is over. We cry in the hallway outside the patients room, we cry in the presence of another nurse who more than likely will probably cry with us because they understand, we cry in the bathroom or nurses station but it is almost an unwritten rule among nurses that you don't cry in front of the patient.

I have found that over the years, that this has gotten easier and easier. Sometimes, I sit back and think of all the trauma and sickness and death that I've seen and wonder if I've become a machine because I am not curled into the fetal position.

I wrote several months ago about a young woman with cancer. I had to shave her head because her mother couldn't bring herself to do it. It was the last and only time it was done because she died several weeks later. Although it was difficult for me, I feel proud that I was able to do that one small task for her. I think about that day a lot and how I held it together until after my shift, then I cried my eyes out because I knew her prognosis was poor and there was nothing left that they could do for her.

What a miserable fucking job I have.

I have touched death so many times. I contemplate my own more than I care to admit.

Well kiddies, it is time to get going and face the day. Death waits for no one....and neither does my dog because she'll piss on the floor in a heartbeat if I don't let her out quick enough :P






-Posted by Kaii using BlogPress on the IPhone

2 comments:

Anonymous said...

that was pretty bad...I had no idea what nurses go through (I grew up in a family of docs and dentists), so thanks for sharing that horrible incident. That doc sounds like he had a complete meltdown and/or is a criminal/psychopath; he's lucky there's only you and the patient as a witness...as described, he deserves jail and a civil suit.

That said, I think (and you know) doctors are no different (indifferent?) than a lot of us, but hold an elevated position that is hard to live up to and is easier to hide behind. There's no substitute for good work, attention, preparation, execution, and followthrough in any sector. And we all screw up sometimes.

What blew my mind, is a recent study which said that if doctors would only modify their protocol to wash their hands more frequently/systematically that about 50,000 American lives would be saved annually (about as many people as killed in car crashes), yet administrators were loathe to pursue it because of resistance by docs.

Several friends who are docs who shared observations on some of their colleagues....who won't wear a mask when sick and coughing, won't wash their hands, and so forth - absolutely indifferent....basically after hearing all this stuff, if doctors want tort reform, they should police themselves - they won't, yet they'll still get their tort reform. No professional integrity.

In many ways, they're not much different than another "me first" interest group...punching the clock. Don't get me wrong, I think most probably do good work most days, but it's so much easier to hide as a doc in a broken system.

So let the buyer and the patient be aware -- take good care of one's health and try to stay as healthy as possible, if nothing else to avoid the health care system; I remember hearing a doc on nevada public television in 2007 say that even docs have to use the equivalent of WebMD and ask a lot of questions all along the way to protect themselves as users against a broken health system. Or for that matter a society quickly morphing into a new entity. These transitional times are hard on all of us....

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