mE, MySeLf & GOD

You have to live the life you were born to live…. -tsom

LA VITA E BELLA: From a Nursing Student’s View

Filed under: Uncategorized — donamarie at 10:37 pm on Wednesday, December 31, 2008

LIFE encompasses such a broad and dynamic aspect. In science, life is defined as a state that distinguishes organisms from non-living objects. Organisms with life are those capable of growth and reproduction. In a more holistic definition, life is the physical, mental, and spiritual experiences that constitute existence. 

LIVING the life that a person has is even more complex. There are a lot of dilemmas, decisions and experiences that comprise living. What does one have to do with his/her life? Better answer this question as soon as possible, before waking up one day or rather NOT waking up one day.

 

As a nursing student, I have encountered the different faces of the complexities of life — different life experiences both bizarre and mundane.

 

I have taken the vital signs of people with peptic ulcer disease, leptospirosis, tuberculosis, dengue fever and whatnot in the wards of different hospitals. I have seen mothers give birth to their babies (some of which have deformities) and even get the chance to deliver placentas. I have interacted with people who have cancer in an oncology ward. I have assisted in surgical procedures where people are cut open in the Operating Room and also in minor procedures where people get sutured up in the Emergency Room. I have had my Related Learning Experience in private hospitals — some of which are really high-technology and also in public hospitals where even ventilators are not readily available so student nurses like me would have to perform manual ventilation to comatose patients.  

 

Truly, there is no other place where a person can encounter life… and death more closely than within the walls of a hospital. The hospital is where the first cries of a newborn are heard and where the last gasp for breath is taken by the dying. It is where new fathers beaming with pride are congratulated for the birth of their son or daughter, and where the family of a seven-year old is comforted after the diagnosis of leukemia. It is where doctors and nurses work hard to save an elderly who is having a myocardial infarction (heart attack) and where physicians have to choose the right words in telling his patient that the gangrenous foot has to be amputated.

 

How does each patient live — the former smoker who now has only one lung left because of pulmonectomy done after the diagnosis of malignant lung tumor? How about the life of a sixteen year old, whose boyfriend is nowhere to be seen after the birth of their premature baby, now in Neonatal Intensive Care Unit? There is also the life of a child with back braces and chronic pains due to thoracic kyphoscoliosis. How can this child live, go to school, meet friends when she has to answer questions such as “What are those metals on your back? Are you like a bionic person?”

 

Furthermore, how do doctors, nurses and other healthcare professionals try to juggle life in their hands — their patients’ lives that need to be saved, lengthened or to be provided with palliative care… or their own lives that still need to be sorted out — a doctor who is also a husband and a father, a nursing student who is also a daughter and a sister?

 

I believe that living is an art. Even though the road ahead is full of hardships and hurdles, people go on and LIVE. I remember an experience at the Lung Center of the Philippines. There was this elderly man who is very kind. His wife was as kind as him and always had a ready smile for nursing students. The man was about to undergo pulmonectomy or the removal of an entire lung. I could see the shadow in his eyes when he told me: “Ineng, natatakot ako’t ako’y tatanggalan ng baga…” For a moment, I could not speak. What does one say? Can I tell him ‘Oh don’t worry. Everything’s going to be alright.’ Wait right there! Healthcare professionals should NEVER give false reassurances. How could I be sure that everything will be fine when the guy’s lung has to be taken out? I ended up telling the elderly patient: “Sigurado po akong gagawin ng inyong doktor ang kanyang makakaya para maging ligtas kayo.” Not bad right?… although I had no idea who his doctor was. The good thing is that the shadow lifted from his eyes and he smiled and said: “Salamat ineng…” then he went on giving me a lecture about life — how I should finish my studies first and get a good job before I get married.

 

I wonder how his life will be for him after his operation… if he lives to survive his operation (I sure hope he will). He will have to practice deep breathing exercises and learn to accept his physical limitations after the removal of one lung.

 

Life… breathe… Live… do something!

 

When I get to have duties at the Emergency Room, I feel that I belong to a place like that. I am actually hoping to become a triage nurse someday. When people hear the words Emergency Room, they always think that everything there is fast-paced, toxic, no rest; just blood, sutures, contusions, defibrillations and ET-tube placements. But there are also other things in the ER that people don’t always see.

 

Take this experience of mine. In a public hospital where everything that the patient will use must be bought (such as the anti-tetanus serum, syringe and the doctor’s gloves), an elderly was taken because of a considerably long cut in his arm. The laceration, I observed, was also bleeding. There was one problem: the man was so indigent he didn’t have money to buy anything. The triage nurse said: “Pa’no ‘yan tatay? Pa’no kayo matatahi eh wala kayong pambili ng gamit?” The man just looked at his pitiful laceration. I was close to tears. Why did I have only a hundred pesos in my pocket that time? All I could buy with that are perhaps two pairs of sterile gloves and a micropore. What a life! The man must have thought. He was bleeding and miserable and he had no money.

 

The doctor eyed the patient and suddenly spoke: “Sige ho. Pakuha n’yo sa kasamahan n’yo ang mga gagamitin at ako na ang magbabayad.” God bless that doctor. May he live a long life so he could touch many more lives in the future.

 

You see, life is not just about breathing and staying alive. It’s about living it and doing the things you ought to do — just like that doctor who did not just save that man’s life but also touched the poor man’s heart.

 

I hope that I could do the same. I may not be a physician. But I will become a nurse — a nurse who could share in the bitterness of the lives of sick people… a nurse who will help save lives… That, for me, will make my life wonderfully beautiful. LA VITA E BELLA!

 

 

-Ad Majorem Dei Gloriam      

WALA NANG DUTY… HAYZ….

Filed under: Uncategorized — donamarie at 10:31 pm on Wednesday, December 31, 2008

Parang kelan lang. Third year ako, kakalipat lang from Lyceum to BSU — unang sabak sa hospital duty. Sa ward ng Bauan Doctors ako unang nag-duty. Super aga kong gumising. Nag-load ako sa bihira kong gamiting phone at iti-next si Phoebe… “D2 n me plaza, where na u?”… Napaghalataan tuloy na super excited ako sa duty.

Kulang-kulang din ako sa gamit. Wala akong ruler, pencil, notebook. Sa pagkuha ng vital signs ay sobrang windang ako. Kinailangan akong tulungan ni Mutya Carandang sa pagkuha ng RR! Super windang din sa mga kulay ng IV. Hindi ko nga alam kung pano tawagin ang D5LR; super 5% dextrose in lactated ringer’s solution ang sabi ko kay Ma’am Uy nang itanong n’ya kung anong IV ng pasyente ko. Hindi rin ako marunong kumuha ng I & O that time. Ultimong pag-plot sa chart eh tinuruan pa ako ni Ma’am. Samantalang ang mga kaklase ko, parang nauuta na sa duty ng ward.

Noon, super kabado ako. Ngayon, natatawa ako sa kung gaano ako ka-naive nang mga panahong ‘yon. Hindi ko nga maubos-maisip na ang sunod kong duty ay bilang trainee sa ospital — wala nang CI, wala nang kagrupo. Sa January, wala na akong hospital duties. Tapos na. Puro lectures na lang. Hindi ko nga akalain. Ang bilis!

Nakapag-assist na pala ako sa nagsisitapangang surgeons sa OR. Nakapagpalabas na pala ako ng placenta sa DR. Nakapag-serve na pala ako ng lidocaine sa doktor na nagsu-suture ng laceration sa ER. Nakapag-vital signs q1 na pala ako sa pagkaliit-liit na baby sa NICU. Nakapag-measure na pala ako ng urine output sa ICU. Nakapag-rotate na rin pala ako sa oncology unit ng pedia ward.

Nalampasan ko na rin pala ang mga tanong ng mga doktor gaya ng “Miss na taga-BSU, ’san located ang appendix? Gusto ko ‘yung specific anatomical part, hindi lang kung saang quadrant.” At iyon ay habang tinatanggal n’ya ang appendix ng isang bata at nangangarag ako sa pag-abot ng kelly sa kanya. Nakipagdebate na pala ako sa mga doktor sa mga panahong hindi sila galit. “Mas gusto ko po sa ER kaysa sa OR.” Minsan naman, mga taong schizophrenic ang kausap ko: “Kumusta ka ngayon?”, ito ang karaniwang panimula ko.

Napagdaanan ko na rin ang mga pre at post tests sa bawat duty na ang iba ay nakakahiyang ibagsak dahil sa kadalian ng mga tanong ay hindi ko maalala ang sagot at ang iba naman ay nakakamanghang ipasa dahil halos tumulo ang CSF ko sa kahirapan. Maraming CIs na rin ang nakapag-handle sa akin. Iba-iba man sila, may natutunan ako sa bawat isa sa kanila.

Naranasan ko na rin pala ang maging toxic. ‘Yung tipong dapat sana maaga kaming pauuwiin pero 15 minutes bago ang napag-usapang time ay biglang may dumating na tatlong pasyenteng nasaksak kaya imbes na under time ay naging over time pa kami. Sa kabilang parte naman ay naranasan kong wala halos pasyente kaya bulak at OS ang pinagdidiskitahan naming gawin. Nakitulog na rin nga pala ako sa DR at OR ng BRH. Humiga na rin ako sa malamig na sahig ng OR ng JON dahil sa kaantukan. At tsaka nga pala, may mga pagkakataon din na hindi lang doktor ang nagmura sa’kin kundi pati staff nurse. Minsan nga, mas mabait pa ang doktor kaysa ngarag na nurse. Hmmmm….

Samu’t saring pasyente na rin ang na-handle ko. Ang maganda lang, karaniwan sa mga hinahawakan ko ay gumagaling agad. Hindi ako nagbibiro. Kung hindi man within the shift, kinabukasan ay MGH na ang pasyente ko. O, ‘di ba? Sabi nga ni Ma’am Joseth, may healing touch daw ako.

May relatives na masungit, merong super bait na pati pagkain nila ay iaaro sa estudyante. May ospital na parang hotel at meron din namang ospital na hindi kagandahan dahil kulang sa budget. May mga pagkakataong ang galing-galing ko sa duty at may pagkakataon namang windang ako to the highest level.

Hayz, basta sa lahat-lahat ng pinagdaanan ko sa duty, mami-miss ko ang bawat isa! Nakakapaluha ngang isipin na ang dating kinaaayawan kong dutyhan na BRH dahil sa dami ng pasyente ay hinahanap-hanap ko ngayon. Nakakapabuntong-hininga rin na isipin na ang mga kinaiyamutang CI sa duty ay hindi ko na matatanong tungkol sa kung tama ba ang compute ko ng dosage ng gamot sa susunod kong duty dahil hopefully, sa sunod kong duty ay may karugtong nang RN ang pangalan ko.

Sa mga ngayon pa lang makakapag-duty at mga magdu-duty pa, ‘wag n’yong kamuhian ang duty! ‘Wag n’yong ipanalangin na mawala ang duty dahil hahanapin n’yo rin yan kapag natapos na. Eto pa: GOOD LUCK SA ATING LAHAT NA MGA NURSING STUDENTS.