These things change us

just pet

Vanilla with a twist
Joined
Mar 14, 2002
Posts
49,093
The call came in at 9pm. A 34 year old patient with pain out of control. She is on a CADD pump, with Dilaudid, but her pain is escalating. As the on call RN, I had to go and titrate her meds up.

The hour drive made me cranky, muttering under my breath, "why didn't the nurse that was out earlier fix this..."

The road was dark, the 2 flights of stairs up to the house even darker. The entry was well lit, and the 10 pairs of shoes lined up neatly on the front porch began a story. I was suddenly glad I had just painted my toenails.

I was welcomed in and ushered quickly and quietly into a small room, dominated by a hospital bed, a small jaundiced-bronzed woman in obvious, severe distress and 6 Afghani women.

For the next 4-1/2 hours, I sat vigil with these women, as I increased the Dilaudid from 4mg/hour to 64mg/hr, giving Ativan to calm, began oxygen, held hands.

The patient is 34, her sister died from the very same cancer recently. Her mother and I spoke only the language of the love for our children. She is suffering, just as her dying daughter is. The older woman pulled a chair next to her for me to sit, holding my hand, kissing first one cheek, then the other. We watched and prayed together as her baby's breathing became less labored and her moans became softer and less frequent.

And the young women talked of politics and how they had no interest until just recently, as they are hated, despised for their religious beliefs. As we sat together, sharing a glass of hot tea and sweet dates, we talked of all those fighting, being killed, some Mother's child.

The suffering I saw tonight was not any less nor any more deserved for this young Moslem woman and her family. They welcomed me, never asked about my religion. The dying woman's mother said she loved me, loved me for easing the suffering of her child.

I am different tonight

And now have no tolerance for blind and ignorant hatred


What experiences have changed you in a heartbeat?
 
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just pet said:
The call came in at 9pm. A 34 year old patient with pain out of control. She is on a CADD pump, with Dilaudid, but her pain is escalating. As the on call RN, I had to go and titrate her meds up.

The hour drive made me cranky, muttering under my breath, "why didn't the nurse that was out earlier fix this..."

The road was dark, the 2 flights of stairs up to the house even darker. The entry was well lit, and the 10 pairs of shoes lined up neatly on the front porch began a story. I was suddenly glad I had just painted my toenails.

I was welcomed in and ushered quickly and quietly into a small room, dominated by a hospital bed, a small jaundiced-bronzed woman in obvious severe distress and 6 Afghani women.

For the next 4-1/2 hours, I sat vigil with these women, as I increased the Dilaudid from 4mg/hour to 64mg/hr, giving Ativan to calm, began oxygen, held hands.

The patient is 34, her sister died from the very same cancer recently. Her mother and I spoke only the language of the love for our children. She is suffering, just as her dying daughter is. The older woman pulled a chair next to her for me to sit, holding my hand, kissing first one cheek, then the other. We watched and prayed together as her baby's breathing became less labored and her moans became softer and less frequent.

And the young women talked of politics and how they had no interest until just recently, as they are hated, despised for their religious beliefs. As we sat together, sharing a glass of hot tea and sweet dates, we talked of all those fighting, being killed, some Mother's child.

The suffering I saw tonight was not any less nor any more deserved for this young Moslem woman and her family. They welcomed me, never asked about my religion. The dying woman's mother said she loved me, loved me for easing the suffering of her child.

I am different tonight

And now have no tolerance for blind and ignorant hatred


What experiences have changed you in a heartbeat?

reading this
 
Re: Re: These things change us

MorgaineLaFay said:
reading this


Thank you, Morgy

More a rant than anything else
Long drive home
I suspect I will be called back in a few hours

:kiss:
 
For six months I did what you do. At least I think that is what I did. Anyway - it was a tough job.. The toughest.

You're a fucking angel in the dark.
 
MorgaineLaFay said:
For six months I did what you do. At least I think that is what I did. Anyway - it was a tough job.. The toughest.

You're a fucking angel in the dark.

You are an angel, sweetness
:heart:
 
just pet said:
The call came in at 9pm. A 34 year old patient with pain out of control. She is on a CADD pump, with Dilaudid, but her pain is escalating. As the on call RN, I had to go and titrate her meds up.

The hour drive made me cranky, muttering under my breath, "why didn't the nurse that was out earlier fix this..."

The road was dark, the 2 flights of stairs up to the house even darker. The entry was well lit, and the 10 pairs of shoes lined up neatly on the front porch began a story. I was suddenly glad I had just painted my toenails.

I was welcomed in and ushered quickly and quietly into a small room, dominated by a hospital bed, a small jaundiced-bronzed woman in obvious severe distress and 6 Afghani women.

For the next 4-1/2 hours, I sat vigil with these women, as I increased the Dilaudid from 4mg/hour to 64mg/hr, giving Ativan to calm, began oxygen, held hands.

The patient is 34, her sister died from the very same cancer recently. Her mother and I spoke only the language of the love for our children. She is suffering, just as her dying daughter is. The older woman pulled a chair next to her for me to sit, holding my hand, kissing first one cheek, then the other. We watched and prayed together as her baby's breathing became less labored and her moans became softer and less frequent.

And the young women talked of politics and how they had no interest until just recently, as they are hated, despised for their religious beliefs. As we sat together, sharing a glass of hot tea and sweet dates, we talked of all those fighting, being killed, some Mother's child.

The suffering I saw tonight was not any less nor any more deserved for this young Moslem woman and her family. They welcomed me, never asked about my religion. The dying woman's mother said she loved me, loved me for easing the suffering of her child.

I am different tonight

And now have no tolerance for blind and ignorant hatred


What experiences have changed you in a heartbeat?
:heart:
 
just pet said:
What experiences have changed you in a heartbeat?

First, thanks for sharing this experience. God Bless nurses. :)

Being a nurse, I have so many experiences that have changed me for the better, not only professionally, but personally. Patients that continually keep me grounded are my patients who are experiencing a fetal loss. They never cease to amaze me. They leave with nothing in their arms, but never ever leave without saying "thank you". I always take something from that experience. Always.
 
Re: Re: Re: Re: These things change us

bluespoke said:
Or maybe, mercifully, not:rose:

She is dying slowly
What I didn't tell them (as this culture does not usually want to know), is that as soon as she gets truly free from pain, she will be relaxed enough to let go and die.

She is actively dying.
 
Re: Re: Re: Re: Re: These things change us

just pet said:
She is dying slowly
What I didn't tell them (as this culture does not usually want to know), is that as soon as she gets truly free from pain, she will be relaxed enough to let go and die.

She is actively dying.

Death is truly an incredible experience if we open our eyes to it.
 
Re: Re: Re: Re: Re: These things change us

just pet said:
She is dying slowly
What I didn't tell them (as this culture does not usually want to know), is that as soon as she gets truly free from pain, she will be relaxed enough to let go and die.

She is actively dying.

All they will want to know is that she is pain free.

I know the principle of double effect. I've seen it first hand before. Pain racked features turning slowly to almost serenity, then slippingaway.
 
Re: Re: These things change us

nitengale said:
First, thanks for sharing this experience. God Bless nurses. :)

Being a nurse, I have so many experiences that have changed me for the better, not only professionally, but personally. Patients that continually keep me grounded are my patients who are experiencing a fetal loss. They never cease to amaze me. They leave with nothing in their arms, but never ever leave without saying "thank you". I always take something from that experience. Always.

I worked nicu for many many years
From the first breath, and now to the last, and as you say, some who never had a breath at all
Seeing suffering first hand cannot help but change you
Life is so precious, health so fleeting
We take so much for granted

Thank you nitengale, for the work you do:rose:
 
Re: Re: Re: Re: Re: Re: These things change us

nitengale said:
Death is truly an incredible experience if we open our eyes to it.

We often see it as an experience as separate from life
But it is only part of the continuum of living, when life stops

Perhaps we see the dying as already dead
And we miss the spirituality of that transition
 
Re: Re: Re: Re: Re: Re: These things change us

bluespoke said:
All they will want to know is that she is pain free.

I know the principle of double effect. I've seen it first hand before. Pain racked features turning slowly to almost serenity, then slippingaway.

Yes

But they always want to know when
They assume we will be able to ease the pain
But WHEN WHEN WHEN will the person die

This seems to be the most frequent question
 
Re: Re: Re: Re: Re: Re: These things change us

nitengale said:
Death is truly an incredible experience if we open our eyes to it.

It's almost funny (not HAHA) that it takes death staring us in the face in order to realize how great our lives really are.
 
Re: Re: Re: Re: Re: Re: Re: These things change us

Lust Engine said:
It's almost funny (not HAHA) that it takes death staring us in the face in order to realize how great our lives really are.

True. But my point was that death in itself is a truly awesome experience, as a part of the life cycle.
 
Re: Re: Re: Re: Re: Re: Re: These things change us

just pet said:
Yes

But they always want to know when
They assume we will be able to ease the pain
But WHEN WHEN WHEN will the person die

This seems to be the most frequent question



And we all know that is a question nobody can answer. The answer I've heard given is....'when he/she is ready'.
 
Re: Re: Re: Re: Re: Re: Re: These things change us

just pet said:
Yes

But they always want to know when
They assume we will be able to ease the pain
But WHEN WHEN WHEN will the person die

This seems to be the most frequent question

And on the other side of the life spectrum I get "when will the baby come" question. Life...a mystery from beginning to end. :)
 
Re: Re: Re: Re: Re: Re: Re: Re: These things change us

nitengale said:
True. But my point was that death in itself is a truly awesome experience, as a part of the life cycle.

Whether it's our own imminent death or to witness someone else's is still a pretty deep reflective moment.
 
Re: Re: Re: Re: Re: Re: Re: Re: Re: These things change us

Lust Engine said:
Whether it's our own imminent death or to witness someone else's is still a pretty deep reflective moment.

I reflect on a daily basis

At some point, one becomes very Zen about it
 
Re: Re: Re: Re: Re: Re: Re: Re: Re: These things change us

Lust Engine said:
Whether it's our own imminent death or to witness someone else's is still a pretty deep reflective moment.

Absolutely, IF we open our eyes to it. :)
 
Re: Re: Re: Re: Re: Re: Re: Re: Re: Re: These things change us

nitengale said:
Absolutely, IF we open our eyes to it. :)

And our consciousness

Denial is a seductive beast
 
My mother died earlier this year after a six month battle with Motor Neurone Disease. Watching her waste away was an experience that changed me in a huge way.

For the last month of her life she was cared for my incredible people like yourself just pet. I thank you and people like you for being there not only for the sick , but for the bewildered, lost and confused family members left behind.

:rose: Shane
 
kiwiwolf said:
My mother died earlier this year after a six month battle with Motor Neurone Disease. Watching her waste away was an experience that changed me in a huge way.

For the last month of her life she was cared for my incredible people like yourself just pet. I thank you and people like you for being there not only for the sick , but for the bewildered, lost and confused family members left behind.

:rose: Shane


Thank you from all of us who have the honor of being part of the hospice experience
Thank you for allowing us in at this most private and sacred time

I am so sorry about your mother
No one has any idea how tough that is to watch someone you love dwindling and leaving slowly
I do hope they are there for you still

:rose:
 
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