#1
27-year-old female, was previously never diagnosed with anything, not even a broken leg. Started to complaining about feeling wrong in her body, constantly constantly so tired, she could barely keep awake, while she was cooking dinner. Her hair is falling out, she got black dots flashing for her eyes, and she’s constantly feeling a bit unwell, like in the beginning of a cold. Besides from this, she feels nauseous.
The patient got too small kids at home.
The patient have now contacted the doctor numerous times, and walked out the clinic with the words “ are you sure this is not something in your head?” you’re absolutely fine.
Fast forward a couple of months, the patient returns with a lump in her breast.
She gets an ultra scan. Again, she’s told nothing wrong.
At this time the patient is starting to feel very embarrassed when she calls her doctor, who is visibly irritated at her.
Now it’s nine months since she had the ultra scan, and she now feels a new lump in her breast.
She returns to the doctor, and demands to go to another clinic.
Six days after, she lays on the table, getting scanned and so that she got stage four breast cancer, three lumps in her breast, and it’s spread to the lymph nodes.
Luckily, I am still here today. 10 years has passed.
Thanks to myself, and my stubbornness!
If I did not return to the doctor again and again, my children would not have known me.
Sorry for the incorrect spelling or grammar, English is my second language.
Nurses often have more contact with patients than doctors. So it's no surprise that they sometimes get to know them well, especially in cases of prolonged hospital admission or ongoing illnesses.
The more a nurse sees a patient, the deeper the bond between them can grow. And when that patient takes their last breath, it can be heartbreaking for the person who'd been helping to care for them.
A 2021 study published in the National Library of Medicine notes that while seeing people passing on is an inevitable part of a nurse's job, it doesn't make it any easier to witness. "There is no doubt that, despite an ability of self-control and a calm approach to the issue, there are still some emotions the nurses need to work through. The death of a patient is considered one of the professional situations in nursing," reads the paper.
160 nurses took part in the Polish study, aimed at evaluating and analyzing the feelings and emotions which accompany nurses during their work when they face the passing on of patients.
Among the participants, more than half said they experienced h**h levels of stress. Many admitted to feeling a sense of helplessness and abandonment, anger and sorrow.
#2

#3
That guy would probably still be alive today if we had reasonable health insurance in this country and could afford to keep his diabetes in check. It really was the turning point in my prioritization of universal Healthcare in a political candidate.
Mortality is unavoidable in the working environment of nurses. “Every [one] is a painful event but, in a way, it is inscribed in human existence," notes the paper. "Nurses often accompany a d*ying person and they are required to carry out their duties in a professional manner when dealing with such a patient."
11% of the nurses in the study group admitted that they reacted very emotionally to when a patient passes on, while nearly 56% of the respondents stated that they tried to control their emotions. 33% said that they kept their distance.
#4

So this older lady comes in with a general complaint of illness. Nurse gets her sat down in the room and starts asking her questions. The lady says, "Well, I have branches growing out of me down there."
Long silence. The nurse asks some clarifying questions and eventually has to type into the medical record, "chief complaint, branches growing out of v****a."
My friend, the NP, went in and eventually found out that this woman had a vaginal prolapse several weeks ago, and one of her neighbors, upon hearing of her woes, suggested stuffing some potatoes up into the hole as some sort of folk remedy.
And there those potatoes had remained for weeks in a nice dark, damp location, which meant they obviously started sprouting. Thus the "branches."
Potatoes were removed, and she was given a non-potato treatment for vaginal prolapse and told not to stuff potatoes up the nethers again.
#5
The research also found that nurses with long service in work manage their emotions best.
"Respondents with the shortest length of service found it very hard to cope... and they experienced a particularly h**h level of sense of powerlessness, the feeling that becomes less intensive the longer the person works in the profession," notes the paper.
Doctors and nurses are expected to be able to emotionally detach and quickly move onto the next patient. But that's sometimes easier said than done.
"Sadly, that's the reality in the trauma bay and ICU settings," reveals Dr. Brenda M. Schiltz, a pediatric ICU specialist at Mayo Clinic in Minnesota. "You still have to carry forward. The next patient deserves your full compassion and thoughtfulness just as the patient who is deceased. That's not easy to do, and I had to learn how to do that well."
#6
Took my time. Arrived too late back to the ER to save the rapist who had been attacked by the family. Not too sorry about that.
"It's not just the deceased patient's family who grieves — it's the health care team and everyone working in the area when a person d*es," says Cathy A. Dudley, a specialist in Decedent Affairs at Mayo Clinic's campus in Rochester, Minnesota.
Schiltz adds that in the past, it was frowned upon for medical professionals to take a moment, or step away, after a patient takes their last breath. But things have changed.
"There's been a culture shift... It used to be about just powering through, and there was stigma that you were weak if you couldn't," the expert reveals. "Now the culture has moved to thinking that if you can't perform your duties, stepping aside is the best thing for you as a professional and for your patients at that time."
#7

There comes a patient with swelling and pain on the lower jaw on a place with no teeth. I examine him, make an incision, drain the pus, antibiotic and OPG (orthopantomogram). There's this impacted wisdom tooth - we extract it, everything fine. 9 days later he calls me, he's still bleeding (didn't even mention it for the whole 9 days!), heard a pop. Turns out he fractured his mandible. So CBCT (scanner) and something's fishy. I get biopsy - tumor. Metastatic from his lungs (according to the doctors), his whole body was lit up on the PET scan.
I guess he has a few months to live. I feel pretty bad. There's nothing I could have done but being part of the whole process was really stressful. That happened last month, so it's still very quite fresh.
#8
When I was a medical student, I had a patient come in with a full blown stroke - hemiplegia, aphasia, facial droop, etc. The stroke fellow I was with showed me how to draw up and push tPA (a "clot buster" medication), and allowed me to administer the d**g.
Fast forward a few days, and this patient had recovered nearly all of their function - some residual weakness, but fully able to converse and articulate themselves. As she was getting discharged, she looked at me and said - "You know what? You've been coming in and seeing me every morning for the past few days. You were the first face I saw in the emergency room, and now you're the last face I'm seeing as I get ready to leave. I'll never forget you." She gave me the sweetest, most heartfelt hug.
She's probably the reason why I'm happy and content going into the specialty I'm going into.
Schiltz adds that many in the medical community are still grappling with how to react in the moments after a patient passes away.
"We're still combatting the 'ignore your emotional response' mindset and trying to find the right balance of taking a moment to process what just happened, have a breather and then set it aside in order to complete our shifts," she says. "Yet there can be times when you just can't go on to the next patient."
Dudley agrees. "People need to find their coping mechanisms to come to grips with the inability to save the patient, especially in trauma," she told MayoClinic.
#9
#10

The day the lockdown lifted, she was the happiest person I've ever seen. She could finally leave to see her family. She got dressed up for the first time since the lockdown started, and made sure everyone in the facility, including residents, knew that she was finally going to go have dinner with her family. We sent her off with a smile.
The next day, we found out that at the very dinner that she waited two years for, she had choked and passed away. The facility felt lifeless for awhile after that.
#11

He finally died at about one day at about 10am. It took me and his wife two hours to pack up all the things he had accumulated in that room over those 11 months. It took another hour for housekeeping to clean his room.
An hour before my shift ended, I admitted a new patient into his room.
That was the day I finally understood what happens after we die. We clean the bed and admit a new patient. .
Schiltz says that while medical professionals may attempt to move on after a patient flatlines, the emotions surrounding such events can go home with them. And therefore, it's important to address negative events at work.
"Patients d*e — that's part of what happens in health care. We witness suffering, critical illness and health deteriorate to the end of life," explains the expert. "However, you have to leave it at work."
#12

#13

#14

22 weeks is the age of viability (some places, including ours, have tried 21 weeks and had a success here and there) but this kid was a couple days old and a 23 weeker. Was stable and without any drips, intubated on a special vent for micros, and when I got report just slightly had oxygen a little out of range.
Time of d**th was called 10 hours later on the nose. Kid had gone massively septic and wouldn’t respond to pressors, fluid, antibiotics, etc. I had heard of sepsis in newborns that can be quick like that from older nurses but I hadn’t seen it yet.
We’d gotten the baby baptized per family wishes about 15 mins before the end came, despite the fact we still were doing everything to prevent it. I broke down after we called it and gave the kid to mom to spend the last few moments.
Came back to bedside a few mins later after I got my c**p together (shoutout to my coworkers who held it down so I could step away) and cried again when I saw him alone in the isolette. I played him some lullabies and dressed him in a tiny crochet blanket and hat and brought him to a private room with his parents.
I’ll never forget this child. He’s the only one who has passed that was MY patient, my assignment for the shift. And I struggled for months with anxiety afterwards any time I had a patient with lower oxygen or blood pressure because I had come to the cruel realization that sometimes your best just isn’t good enough.
She revealed that a chaplain friend of hers treats work like a backpack. "He uses this backpack to carry or help shoulder people's loads, bearing heaviness with them. He said that when he leaves work, he envisions removing the backpack and then goes home."
Schiltz believes that doctors and nurses need to be able to "remove the backpack" to fully participate in their home lives, adding that "there's a sacred time and space at home and at work."
#15

#16
#17
I am in the trauma field and I work with many others with similar stories. I see some of the darkest corners of humanity on a daily basis. I love a quote from Mr. Rogers that says “when something scared me, my mom would tell me to look for the helpers. There are always people who are helping.” It helps keep me sane to know that, even though humanity can be dark, there are people willing to help.
Edit to add: many folks I work with now are doing exceptionally well. They have homes, loving families of their own, and treatment that is working for them. That is also what keeps me hopeful.
#18
#19

If you or your loved ones have any medical care documents like a DNR or otherwise, please put a copy on the fridge in a labeled envelope. EMTs will always look there for such things and if they don’t find them then having them doesn’t matter. .


