Sunday, March 16, 2014

Scrubs

I enjoyed my 
days off this weekend
going out for drinks
with some friends from
the lab department, 
cooking dinner for my mom and I, 
grocery shopping, laundry, 
and indulging in a Netflix
marathon in bed. 
My three shifts at the end of last week
resulted in a wrenched back
so I was hobbling around
Friday night like a Disney witch. 
I filled out an employee
injury form, went to the urgent care, 
got a glorious Toradol shot (seriously, 
my back felt like a million bucks the next morning) and 
watched 'Scrubs' on Netflix. 

I have always loved the show 'Scrubs'. 
I loved it when 
I was in college and wasn't even in nursing yet. 
But now re-watching all the episodes, 
I realize how much 
some of moments
in the show reflect my 
feelings about my career. 

Over the weekend watching the show, 
I have laughed the loudest I have in 
months. I have also found myself unable 
to stop tears from flowing
during some of the heart wrenching episodes.

I was watching the episodes 'My Lunch' and
'My Fallen Idol'. And I have to tell ya, 
I was sniffling like 
I had just stepped 
on a hundred Legos. 
In these episodes, one of the 
doctors is able to get organs for
three of his patients that need transplants. 
After everyone gets their new organ, come to 
find out the donor died of rabies and 
all the recipients die due to complications.
In the situation, the patients needed
 transplant immediately
and the donor wasn't tested 
for rabies due the 
fact that death from rabies is incredibly rare.
And Dr. Cox, their doctor that procured
their organs, has a total breakdown
and blames himself. 

 Now... many people who 
do not work in clinical medicine 
and deal with patients everyday 
will always have something to say 
about how doctors and nurses 
are ultimately responsible 
for every outcome a patient has. 
And we are. 
But the thing about people
is they are completely unpredictable. 
Every person is a snowflake... none of 
us are exactly like another. 
And sometimes medical professionals
aren't able to know exactly how 
every situation will turn out. 
We diagnose, we predict, we use our 
education to direct a patient's care, 
and we work our asses off and
 hope for the best. 

I had a moment like Dr. Cox... 

Months ago, I was assisting 
a surgeon with a bedside procedure; putting 
in a chest tube. 
Everything was going great... 
until the patient started 
to gush blood out of their month. 
I had no suction, I didn't have a vitals 
cart nearby, 
and I wasn't able to see the patient's
cardiac monitor because we don't 
have them in the patient rooms yet. 
The patient ended up being intubated and 
sent to ICU. 
I don't know for certain, but I am pretty sure
she didn't make it. 
For days afterwards I kicked myself.
Ultimately, there was no way 
I could have foreseen she would have had 
that type of complication. 
Typically a chest 
tube insertion is a painful
procedure, but the patient feels 
relief because they can actually breathe again. 
Under the circumstances, 
I did
the best
could. 


I still have moments like that. 
I constantly review situations
with patients to see if there is something 
I could have done 
different or better. 
I have started studying again 
all the things I learned in school
so I keep my memory fresh. 

My point is... I value human life, 
and when one ends because treatment doesn't go
as planned or a misjudgement was made, 
myself and others don't 
walk out the door with a smile on our face. 
We aren't always able to sleep at night. 
We think about the 
people in those beds
when we go home. 
We worry about them. 



And some of them, we never ever forget. 

 
 





 
 

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