Care, Competency and Consent: What Four Nights in the Hospital Taught Me

Thursday night I was admitted to the hospital and this morning I awoke in my own bed.

It’s been a long time since I was in the hospital that long. I had a lot of feelings about it. At first I felt anxiety and boredom, along with mild annoyance. I had stuff to do. The bed had no back support and was intermittently moving around thanks to new technology to prevent bed sores. After two days I felt like a “sick person,” and didn’t like it.

But on a deep level, I felt secure. I had done my research and chosen doctors affiliated with this hospital after seeking recommendations from local family members. I had established relationships with these doctors and my relevant specialists came to see me. This hospital was close to home, part of a large network, but a smaller branch. It had an excellent reputation and my aunt had recommended it. I knew that I was safe there. And that helped me to relax.

A major reason why I preferred this hospital was rooted in something practical: all the phlebotomists and nurses were competent and respectful about getting lab work done. They found a vein quickly and often without pain. They didn’t argue when I told them to use my hands, not my arm. Staff at other hospitals I had visited for lab work and tests struggled, needed multiple sticks and often had to change staff to someone more skilled. When an IV was needed and I consented to them using my arm for a bigger needle, it was difficult for them. The staff that this hospital were all excellent with such a delicate but ordinary routine– and to me that’s vital.

When you’re hospitalized, it’s easy to let your fear and pain, if you’re afflicted with it, consume you.  Luckily this time I had no pain. Discomfort, yes. But not pain. Regardless it’s to easy to detach from the immediacy of your care and let others take the reigns– if they are competent and you trust them. If you’re able to think on that level, which many are not because they are too sick. My Dad has been there at every hospital stay, and most of my doctor visits. And that was needed, because he was the calming presence who reassured me to trust my doctors and that it was important to make decisions and get things fixed rather than avoid them. He was there to squeeze my hand when I needed blood work or IV’s that caused me to breathe deep because my veins are collapsed and scarred in many places. He helped me pay. In the past I would look to him to help me understand the most important information and usually go with his advice.

But I was younger then. So was my Dad.  Now he’s 76 and I’m 38. He falls asleep in his chair more often. He doesn’t chat as much. I don’t need to ask him as much and we share companionable silences. I have done a lot without his help and done it successfully. Without realizing it, I did absorb his analytical nature and ability to cut through the bullshit and find out what needs answering by the doctors and hospital staff. I taught myself to have a list of questions ready along with suggestions. I have spent much of my life in a hospital setting and handle it better than most. I realized it was up to me to help myself heal and actively participate in my care and recovery.

And I realized something  wonderful: I am a competent woman even when I feel uncertain and stressed. My Dad visited me every day, but was only present once when my doctors were visiting me. That first night. He stayed till 12:30 a.m., making sure there was a plan and I was safe.

So I asked all the important questions to learn about my diagnosis and options. I called and texted my friends and relatives to learn if anyone in our family had my symptoms. I asked my friends if they had ever dealt with something similar. I Googled away to educate myself as best I could. I questioned the nurses about updates and the next step in my treatment.

And I became a strong advocate on my own behalf. I realized at one point I no longer needed input from anyone else, even the doctors. I had made decisions. Obviously every doctor is prepared to make the ultimate decision when necessary and to negotiate aggressively for treatments families may want to avoid because of risk, price, or an inability to accept their loved one is sick enough to warrant that level of intervention. But it’s up to us as patients to make sure we understand what’s happening and draw the boundaries about what is an option and what is a hard “no.” We need to know our bodies and what we feel and not hold back when something makes us uncomfortable.

They had goals for my treatment plan and release and they met those goals in the predicted timeframe. They were patient enough to advocate for the least-invasive course of action, rather than the quickest solution. They decided to use meds rather than surgery and wait it out an extra couple of days to let me heal, and that was reassuring to me. They explained why I wasn’t a good candidate for that surgery and that it was an option but more likely a short-term fix that would bear addressing again in the future. I agreed with them and we proceeded with success. But the whole way through, they cared about my safety and consent.

At 4 a.m. when I was being woken up for blood work, they were kind and did not rush me. Every time, I was asked if it was okay. Most times they knew to use my hand, so a note must have been in my chart. I woke up just enough to move my arm for their access and then luckily fell back asleep instantly.

Once my symptoms were gone for a satisfactory amount of time and my lab work had returned to healthy stable levels for more than 8 hours, I was released quickly. They didn’t drag the paperwork out. I felt exuberant and 200 percent better.

I was grateful. During those four nights I had no responsibility other than seeing to my immediate needs: going to the bathroom, ordering my meals from food service and eating them, and answering questions about what was bothering me and what was working. I asked for a fresh hospital gown, to have a nurse wrap my IV so I could shower, to have another glass of water or more blankets. I brushed my teeth and washed my hair. Otherwise I received the IVs ordered and relaxed. I took my meds when they were brought to me on a schedule. I was able to text and call my family and friends, and receive visitors.

I slept when I needed and watched TV when I wanted. I got to catch up on some re-runs of the original “Roseanne,” which delighted me. I watched the Grammys Sunday night and squealed about each gown and musical performance.

Now I am healthier and comfortable with renewed energy.

I had been telling one of the nurses who I interacted with the most about Lady Gaga’s Grammy win for “Shallow” from her soundtrack contributions to “A Star is Born.” I told him that he NEEDED to watch this song and that it would *CLEAN UP at the Oscars. He hadn’t seen the movie yet but agreed she and Bradley Cooper have insane chemistry and they should just get together already! As he was wheeling me out to exit, my Dad went to get the car. I had declined a wheelchair but it’s just a service they provide to help your transition and show you that last bit of care as you leave. So I allowed myself to accept it.

My nurse surprised me by finding “Shallow,” on his phone and playing it close to my ear. He didn’t tell me, he just let me notice it, which is interesting because my left ear is my deaf ear and it’s a surprise I didn’t miss it.

“Tell me something, girl….” The song was close enough that I heard it.

“Are you happy in this modern world?”

It was so unexpected and considerate. It even seemed a bit romantic. I just enjoyed the moment– that my favorite song for more than six months was being played for me by someone. A stranger, really.  A female trainee nurse was there also so I didn’t comment or flirt, but if I hadn’t already been sitting down I might have swooned or asked him to dance with me.

Maybe that moment was a little gesture from God, reminding me that he’s paying attention to this girl. To keep believing and that the Next Good Thing in my life will be happening soon.

Regardless, not a bad last moment to remember in that hospital. I may be single this Valentine’s Day, but I’ll remember that song and that bearded male nurse and smile on February 14.

Friendship and a 5K

This morning I woke up early and ran my fourth 5K! My friend Jen and I ran together. It was her first.

And I think it was my favorite one thus far.

Because neither of us cared about our time or being competitive.

We were just doing something to be healthy and to hang out together.

Plus, it’s sponsored by Guardian Angel Services, an organization both of us care about. We’re both in social work.

Jen and I have been friends since freshman year of high school– 1995. That’s 20 years! Holy cow.

The event was called Angels Against Abuse, and before we ran there was a speaker. She talked about how she found the strength to leave her ex-husband, the man who was “the father of my children.”  She repeated that last phrase emphatically– and I got it. Wouldn’t that be the primary arrow aimed at any woman trying to move on and escape an abusive relationship? Aren’t women always pressured to forgive all because they are expected to sacrifice not just her happiness, but her own well-being and safety in the name of keeping the family together? She said she knew if she didn’t leave, one day he would kill her. The most incisive moments for me was when she read excerpts of the love letters he would write her after the abuse. The promises, the begging, the hope he would spark that he really did want to treat her better. Her belief that *she* was the one who could heal him– he’d had a rough life.

She credited her counselor with helping her manufacture courage to start her own life with her children– safely. That counselor was her advocate at each court date, all the way until the divorce was finalized.

Afterward, they hugged. I was definitely tearing up.

And subsequently, the race stated.

There were times she needed to slow down and walk, and there were times that I did. And both of us are happy to comply and wait until the other was ready to run again. We’d talk a little.

And she was always positive, always fun!

It was equal. And both of us suggested running again to the other and encouraged each other to keep going.

We were also laughing because we got hit with not just substantial wind resistance, but rain!!

It was really coming at us! Luckily I had a hoodie from the event, but I was soaked. My toes were squishy in my shoes.

I joked that we were “hardcore” runners now! I I felt like such a bad ass.

Crossing the finish line was such an achievement!! I’ve never had to deal with so much weather in a run.

I did see my time at the end,  but didn’t make particular note of it.

Then we grabbed some refreshments and snacks, thanked each other for a great race,and went our separate ways.

Neither cared about how we ranked. We had achieved our goal!

And now it was time to go home and enjoy it.

In two weeks we have another 5K, in Chicago. Cannot wait!!