My recent post about nurses deserves a big brother. The experience at RPA lasted around 48 hours and gave me a taste of what a ward nurse's life is like. I came home at the weekend after 7 days in Strathfield Private Hospital and wanted to provide a further insight into a nurse's life - from a patient's point of view.
OK, so details first. I was in for a partial nephrectomy. They cut you open (in my case, the incision is around 18" long) and remove the tumor from your kidney. They have to cut through 7 layers of muscle and all of those layers are stitched back together and have to heal. My operation was a complete success and, in fact, left me with more of my kidney (80%) than everyone hoped for.
Now, enter the nurses, as the recovery begins. This ward was made up of either urology patients like me or osteo patients (knee replacements, etc), so the recovery period, it seems, falls to fairly standard patterns and procedures. It begins the day after the operation, when they try to get you out of bed. This is for very good reasons, as congestion settles on your lungs very quickly and is an ideal breeding ground for infections. Just how easy it is to get one of these, I'll explain later.
Well Day #2 didn't go as planned and I couldn't get off the bed. Excruciating pain and I wanted to hit the next person who tried to get me up, but they came back and tried again in the afternoon - because it is SO important. It's important for fighting the congestion, but it's also important for other reasons. My second night was really uncomfortable, due to some friction grazes from the mattress and general muscle aches from too long in bed.
Here's a tip for all you blokes reading this - the sooner you get up, the sooner the catheter comes out, ok?
Well day #3 saw be raise myself off the bed relatively easily, albeit painfully. Still needed a sponge bath in bed, but sat up in a chair and walked a little. Physio now becomes the most important person in my life, nagging me (necessarily) to get breathing deeply and to cough up phlegm. Ouch! (I'm writing this a full week later and coughing is still very painful). Day #3 also saw a temperature spike, because the bugs were loving my chestfull of muck that I hadn't been able to cough up yet.
From day #4, the nurses really come into their own. Now it's their job to get me up each day etc. The Ward Manager. Sister Hong is the sort of person every team needs as a leader. She led by example - "Do as I do" and is clearly respected by both her staff and the doctors. The catheter comes out (yay!) and is followed by my first shower, where I'm being treated with dignity and respect. By the end of the day I was using the toilet on my own.
I also had dressings changed and bandage-blisters tended too. Was the person gently removing the messy bandages and carefully tending to the painful open sores really the same person who was determined to drag me up off the bed on Sunday, despite my cries of "NO!!!"??
Another temperature spike on Day #5 brought on a stern lecture about the need to breath, walk and cough. Mixed with all of this Jekyll & Hyde personality came a person only a little younger than my self who would stop by for a chat briefly and we'd share stories of what it's like to manage Gen Y. A typical day for Sister Hong was 12 hours and, even on an unusually quiet Thursday, staff were set to work checking stores etc. It reminded my of a printing manager, taking advantage of some downtime to fit in some much needed maintenance.
The Ground Floor West team followed this example and went about their work in the most efficient and caring manner. I'm reminded of mothers with big families who can somehow keep an eye on 4 or 5 kids at the same time. They also cheerfully allowed my in-laws and Johnny's extended family to have a virtual picnic in the corridor when they came to visit me en mass. (They brought food, as always - I'm still nil by mouth at this stage. When I got out of bed the day after their visit, there are 2 cans of coke and 4 oranges beside my bed, in case I needed a snack during the night)
And so to my final day. I'm not allowed to leave until Sister has checked my dressings and given me her personal instructions about follow up care etc. Paperwork is brought down my another nurse and all is set to go. I'm waiting for my lift in the lounge outside reception, even though I was told I could stay in my room if I wanted to. As I said my final goodbye to Sister Hong and her team, I could sense a degree of distance already forming. I was going and there were sick people who needed her attention. I was a bit like a tradesman's finished work - no time to sit back and be satisfied, there's another urgent job to get on with.
And then, just when you think that chapter is closed completely, Sister Hong wanders over when she sees me pacing around the reception corridor (sitting for too long is a no-no, remember?). "You OK buddy? Need anything?".
No Sister, I'm fine thanks :). And it's thanks you and your team. Dr Sved did a great job on my operation ans the staff physio gave me some great self-help tools, but it's the nurses who made me well again.
Nurses definitely get counted amoungst Stuff that's good in the World' :)
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