I always hated hospitals. My first experience
with one was when I was four years old and broke my right leg. I was in traction
for six weeks at the hospital and much of it wasn't a pleasant experience. I
guess that flavored my impression of hospitals in general; however, all of that
changed when I got a hernia in 2003 and was told that I'd die if I didn't have
an operation in the next 24 hours.
I learned a lot from that experience.
Superficially, hospitals have done much to eliminate the Eisenhower-era look and
they don't reek of antiseptic anymore. But underneath it all, I think I was the
one who changed the most. The doctors and nurses where I stayed saved my life
and nurtured me back to health, something for which I'll always be grateful
despite the $45,000 price tag for it. Now a different hospital in a different
town is doing the same thing for my mother. She didn't need surgery, but her
condition was grave when she went in and they're taking good care of
her.
As I was sitting here, pondering this blog entry, it struck me that
hospitals are true microcosms of our universe. You can experience all of life in
one building. Birth, death, joy, pain, love, grief -- it's all there. Perhaps
that's what makes hospitals so intimidating. Knowing that a father is seeing his
son for the first time on one floor while at the same time someone else's wife
of 50 years is being put in a refrigerated cubicle in the basement is
disturbing. But hospitals are like that and I suppose that's why hospital dramas
rank so high in nighttime television. Anything can happen and does happen.
People are born, they have kids, and they die in hospitals every day. I suppose
that's what always bothered me about hospitals -- when someone goes into one as
a patient it usually is a pretty big deal and can be one of those life-changing
events. I admit to feeling precisely this way about my mother going into the
hospital this past Friday, but now that she's been in there a few days and is
getting better I'm a lot more comfortable with it.
In my mind, I keep
going back to the people who work in these places. I couldn't do it, plain and
simple. I always considered myself to be a really stable person who can handle a
lot, but between the events that go on in hospitals and the emotions of the
people experiencing them I'd be a basket case in a week. I've known several
nurses and nurses-in-training and most of them drank like fish and smoked like a
broken stove. No wonder. Constantly being on the front lines of life must be a
completely draining experience to the point of emotional
debilitation.
Here is a quote from
an article on the nursing
shortage from a group in Pennsylvania, but it seems just as relevant for the
nation as a whole:
"For each additional patient in a nurse's caseload, the study
found there is a seven percent increase in the likelihood of a patient dying
within 30 days of admission; a 23 percent increase in the likelihood the nurse
will develop burnout; and a 15 percent increase in the likelihood the nurse
will experience job dissatisfaction. The Aiken study also demonstrates that
heavy workloads and mandatory overtime are contributing to a nurse burnout
rate of 40 percent, a rate that exceeds the norm for the health care
industry."
Those figures are astoundingly high and -- I'm guessing
here -- probably only exceeded by law enforcement. I know I was a pain in the
ass when I was in the hospital a few years ago and the nurses were really nice
to me despite it, a fact I credit them with whenever I think of them. I think
nurses are great and deserve all the respect that we can throw their way. Next
time -- if there is a next time -- I won't be as much of a pain.
So for
now, I'm happy that my mother is getting better and that, for her, the hospital
is a house of healing. Nevertheless, it also makes me remember that one day --
for many of us -- the hospital will be the last place we see. Considering my
mortality and the mortality of those I love is unsettling to say the least, and
this is yet another -- and perhaps biggest -- reason why hospitals are so
intimidating. They force us to consider the best and worst in life. Moreover,
through introspection, they force us to consider the best and worst in ourselves
with regard to our behavior around those we have known and loved. Confronting my
regrets and shameful misdeeds on a good day is difficult, but especially so when
something life-changing may be close at hand.
Life, death, and everything
in-between -- hospitals condense it all down and concentrate it in a very
personal way. For many patients it's a high-stakes Wheel of Fortune spin. If it
stops here, the tumor's benign. If it stops there, it might be renal failure. We
all pray a lot more in hospitals than anywhere else -- I know I did -- and we
ask God to give our doctors almost God-like powers. In fact, the faith that we
wind up giving to the doctors is similar in nature to that we give God Himself.
And we pray for miracles which sometimes come and sometimes don't. It's like I
said -- hospitals are a microcosm of our universe. The only difference is that
what takes a lifetime on the outside happens every day in there.
I have
absolutely no idea if there's a point in here or not. I was just thinking and
needed an outlet to vent my thoughts and concerns and this is usually the place
where I go. Perhaps one day I'll come back and give this a better ending and
then again perhaps it needs no ending at all. I'll just leave the reader with my
last thought: if hospitals are a microcosm of our lives and hospitals are places
that make us afraid on a very fundamental level, then what does that say about
our lives? Is it our mortality that scares us or is it the regret over past
misdeeds that we must face when loved ones die or when we're dying ourselves?
What can we do to change that? What can I personally do to change that?