[identity profile] dedra.livejournal.com posting in [community profile] tamingthemuse
Title: Hope
Author: [livejournal.com profile] spikespetslayer
Fandom: None
Rating: G
Summary: Every nurse has that one patient that she will never forget. This is my unforgetable patient.

Author's note: Not necessarily graphic, but does have some medical terms in it. This is a true story, although the names have been changed. Sometimes the difficult patients are the ones that are the most rewarding.



Nursing school isn’t easy. They deliberately make it difficult and stressful to weed out the slackers, the excitable ones, and the ones who will never cut it in a million years. They want the best out there on the floor to care for the sick and dying, even if they have to make you suffer to figure out if you are one of the lucky ones.

Lucky? Yes. Lucky enough to hold a life in your hand and not falter. Lucky enough to make the right call at the right time and never stumble in your quest for excellence. Lucky enough to pass all the tests and perform all the practical examinations and still be willing to do the job and do it right.

Luck, however, has very little to do with it. It’s more guts than luck. You either do it all the way, with your heart and soul, or not at all. You’re either in the job for the gratification of that one smile, that one statement, that one thank you in a ten-year career, or you’re in it to meet a rich doctor and go home with the diamond for a prize.

You either bat a thousand or nil. You can’t have it both ways.

One of the most memorable patients that I ever chanced to have made me open my eyes to the reasons that I was a nurse and not a doctor. Don’t get me wrong; I have the intelligence and the grades to be in med school—I chose not to be. I choose to see my patients as people and not diseases to be treated. I choose to see my patients as individuals and not another case. I choose to see my coworkers as helpers instead of irritants and hindrances to a good night’s sleep. That’s my choice and it’s a conscious decision, one that I made long ago.

I’ll call my patient Hope, although that isn’t her real name. She was hope personified. She hoped every day that she would be able to conquer the cancer that riddled her body and made her surgery one of the quickest on record in our hospital. She prayed that her family would not suffer through endless nights in the hospital. She blessed each one of us lucky enough to take care of her.

She was the most hopeless case that I ever worked on in my life and I feel blessed—blessed—to have cared for her.

She had an open abdominal wound that made an experienced nurse like me cringe inside, with dressing changes ordered every four hours around the clock. It certainly wasn’t the worst that I’d ever seen, but it was the look on her face that would cause the flinch that I frequently had to suppress. It was the face of hope. Hope that she was getting better. Hope that the tubes could come out and she could go home. Hope that I could give her some good news instead of telling her the awful truth.

I had to go to the chapel after every dressing change to cry. It was the only place that I could go, questioning my beliefs and my faith in a God that could allow such a thing to happen to His child. It seemed to make me stronger instead of weaker.

Hope had this habit while she was sleeping, what little she did sleep. She would flinch and cry out in pain, even though she kept telling us that she wasn’t having any pain. When I finally caught her awake in the middle of a long night shift, she ultimately confessed the truth to me and to her husband who never left her side.

Because she was overweight and her body was so cancer-riddled that it couldn’t process the drugs they used, she was awake for her surgery. She described everything that she could hear. The song by Diana Ross on the radio. The discussion about the upcoming weekend by the staff surrounding her bed, gowned and masked for the procedure. The dismay of the doctor when she cut deep into flesh and found more cancer than healthy tissue. Every word that had been said, everything that had been done, she was conscious and awake for.

She said that every time that she fell asleep, she felt the pain again.

To me, this was intolerable. I went back through records, pouring over her operative reports from the anesthesiologists and proving without a doubt that she was awake. I talked to doctors, managers, and counselors, did research on the Internet, and spoke to the husband. I even managed to convince them that indeed, she had been awake for the procedure.

It was then, at that pivotal moment when I stood up for one who couldn’t stand up for herself, that I was accused of being too close to my patient. It was suggested that I was becoming ‘emotionally invested’ in my patient and should be taken off her case permanently.

Nothing has ever angered me more and I was quick to tell them exactly that. I cited journal articles that stated that nurses who care about their patients provide better nursing care to the patients. I wrote letters that used our hospital’s ‘core values’ as a touchstone to prove my point and put them in each doctor’s mailbox. I even got the other nurses on my shift involved, as well as the priest that served our hospital.

I won my case. I was Hope’s nurse, every night that I worked. No matter where I was assigned, she was my patient. Not only by my request, but also by hers.

Hope and I grew quite close in the short time that she was in my care. I brought her a guardian angel one night and prayed with her, pinning it to her gown and telling her that the angel would guard over her sleep. She told me that morning that it was the first night that she hadn’t dreamed of her surgery since it had happened.

One night, I arrived at work to have the nurses from the previous shift meet me at the elevator door. “Hope is asking for you.” With my heart in my throat, I went to her room at the end of the hall and knocked on the door. I saw two weeping men at the end of the bed and I knew in my heart that the end had come.

They turned to me and opened their arms and I stepped into their family circle without hesitation. Then I heard her calling my name and went to her side.

“I waited for you to come on duty.”

“I know,” I replied.

“Thank you. You made this bearable. You cared and you believed me. I knew that you would.”

“Are you hurting, Hope?”

“No. I feel pretty good right now. Goodbye.”

She took a breath, let out a sigh, and she was gone.

With shaky hands, I took the angel off her gown and handed it to her husband John. He clasped it in his palm, then hugged me fiercely before whispering, “I’m going to have this buried with her. That way you’ll always be by her side.”

To some, that may seem morbid. To me, it was the greatest gift that he could have given me.

Some days you bat a thousand. Some days you have to admit defeat. Sometimes, death is a blessing. I can’t say that every night is easy, or say that sometimes I wonder why I picked nursing for a career.

I can say, however, that I wouldn’t give it up for the world. If not because of the lives that I will touch, then only because of Hope.

Date: 2007-03-26 11:51 am (UTC)
From: [identity profile] authoressnebula.livejournal.com
Oh yeah. Seriously needing the Kleenex over here.

That was absolutely beautiful sweetie, and a wonderful memorial to the woman she was and the career you so rightly chose. Very well done.

~Nebula

Date: 2007-03-26 12:49 pm (UTC)
From: [identity profile] sellthelie.livejournal.com
Gosh, I really don't know how to say much after that. It's the sort of thing you hear of, see in movies/television, those kind of things, but to experience it, and come out of it better off is amazing. *hugs*

Date: 2007-03-26 02:52 pm (UTC)
From: [identity profile] the-lone-jen.livejournal.com
Not to trivialize this, but this is the stuff that should be on TV. Not the wildly obscure cases, but the kind of truth that compels people to act with dignity beyond their suffering. Thank you for sharing this.
From: [identity profile] smwright.livejournal.com
Thank you for sharing this.

You know, you share so much of yourself and do it so beautifully. I wonder how many of the rest of us are that courageous. Perhaps we should have a one-week autobiographical challenge?

Bless you, sweetie. You do give me inspiration of all sorts. *big hug*

Date: 2007-03-27 05:26 am (UTC)
From: [identity profile] zippitgood.livejournal.com
Thank you for sharing that was something special.

Date: 2007-03-28 07:56 pm (UTC)
From: (Anonymous)
Simply amazing. You are one of the good ones - the ones where we can tell you love us, even if you only know us a few hours, a few days, or a few weeks. God bless you.

Date: 2007-03-29 08:02 am (UTC)
From: [identity profile] asylumyack.livejournal.com
You know, I don't find that morbid at all. It shows that affirmation of the spirit, not the defeat of death. I have five nurses in my family and I know how hard you work. I could not do what you do. I think it is wonderful that you were able to find inspiration from Hope and not dwell in the sadness and pain. Thank you for sharing this story.

Date: 2007-03-31 07:02 am (UTC)
From: [identity profile] kazfeist.livejournal.com
Beautifully done, Spike. I'm glad she's in a better place.

Date: 2007-04-01 07:46 pm (UTC)
From: [identity profile] behrbemine.livejournal.com
I've worked with nurses nearly all my life, and never once have I encountered one with such care and downright love. This is a beautiful story. What I cling to the hardest is that right before Hope died, she said, "I feel pretty good right now." It's always best when the mind leaves from a good place.

Touching story, really, it is. I've suffered through many sicknesses and would have given an appendage at times just to have someone in the medical field care in this way. Wherever these kind people are hiding, I'm glad that they're there.

Date: 2007-04-02 10:53 am (UTC)
From: [identity profile] shadow-in-eden.livejournal.com
Oh, that was powerful. Thank-you for sharing this increadable memory with us. You are a stong person and I want to hug you. *hug*

Date: 2007-04-02 03:11 pm (UTC)
From: [identity profile] thismaz.livejournal.com
Speechless. Full of admiration for you both. Smiling through tears.

Date: 2007-04-07 02:07 am (UTC)
ext_2673: Tree with flowers and blue sky (Taming The Muse)
From: [identity profile] dangerous-47.livejournal.com
Oh my. *blinks tears away*

Damn.

Date: 2007-04-07 12:26 pm (UTC)
ext_2673: Tree with flowers and blue sky (Default)
From: [identity profile] dangerous-47.livejournal.com
Yup, it did. :)

Thanks.
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