Tuesday, March 13, 2012

Tear tear, sniff SNF

I was looking for something I had written a couple years ago on my jump drive and in the process of looking for it, found a few conversations I had had with patients at the SNF I used to work at that I typed and saved. I probably never would have done it, but when I got enough of them I wanted to compile them into a book called “Tear Tear Sniff SNF: Conversations from a skilled nursing facility that will make you laugh so hard you cry…or maybe just cry.” There were a lot more funny conversations than I have written here or can remember, but these were the few I documented before I was terminated. I wish I had thought to write down more sooner. As hellish as it was at that place, it did have it’s entertaining moments. I’m glad I found this because the horrible experience in my last few months there almost made me forget how much I actually loved the people we took care of…even if they were crazy.

Conversation #1

(we referred to the patients we took care of as “residents” since most of them lived there, so don’t be confused when you see the term “resident” in the conversation set up)

Resident: (yelling- which was her norm, she had severe dementia and frequently called out) God! God! Help me! God!

Me: He hears you, and I hear you. You’re yelling.

Resident: (In a regular speaking voice) No I’m not. I don’t hear anything!

Me: I do. You’re calling out very loudly.

Resident: I don’t believe you. (continues to yell despite inquiries into what she needs. Apparently she only needs God and he wasn’t answering- I had CNA’s who used to pretend they were God and talk back to her from behind the bedside curtain. I asked them not to, only because I didn’t feel it was respectful of the patient, OR God, and it was just kind of sad).

Me: I’m afraid you’re going to worry the other residents with your yelling. It’s Sunday, let’s use our reverent voices.

Resident: (Continues to yell even louder) GOD! GOD! Where are you?! God!

Me: God hears us better when we use quiet voices.

Resident: (In a more hushed, quiet tone) God, God. Help me, God.

Conversation #2

I needed to hang an antibiotic for a patient who was sleeping. Not wanting to startle her and risk her pulling her arm away while I was flushing the line or attaching the med that could possibly pull the IV out I gently woke her up and explained what I was going to do. I stopped talking, and started wiping the IV port with alcohol before I flushed it and she opened her eyes, looked at me and said, “You have beautiful teeth”. I thanked her and thought it was remarkable that she could know that when I wasn’t smiling or speaking to show my teeth when she finally opened her eyes and looked at me.

Conversation #3

(This conversation is also about teeth, but it’s a different day with a different resident. I find teeth are a common conversation topic among the elderly and confused…maybe because they don’t have theirs anymore)

Resident: You have beautiful teeth.

Me: Thank you!

Resident: Yes, yes, and you know what? You need to go to the dentist!

Me: I do?

Resident: Yes you do. Your teeth are awful.

Me: Oh no, they are? They’re all messed up huh?

Resident: Yes, you need to go to the dentist.

Me: Ok, I will

Resident: You will? Where will you go to the dentist?

Me: Just around the corner here.

Resident: Where? I want to go around the corner to the dentist.

Me: I’m not really going to go to the dentist. I was just pretending.

Resident: You lied to me?

...A few minutes later with the same lady...

Resident: Well, you’re all smiles.

Me: Yes I am!

Resident: (Suddenly switching to a severely scolding tone) Well you’d better stop it.

Me: (Smile instantly replaced with a very sincere looking face) Ok, smiles gone. No smiling.

She nodded her approval and I had to walk away so she wouldn’t see me laughing.

Conversation #4

Resident: You’d better study. You need to study the book.

Me: Which book?

Resident: You know which book.

Me: I do?

Resident: Yes you do. And you’d better say your prayers.

Me: Ok, I’ll say my prayers.

Conversation #5

I heard a couple female residents calling out for help and found a confused male resident was trying to go into their room, and they didn’t want him in there. I figured he mistakenly thought it was his room so I tried to re-direct him.

Me: Hi there Mr. __ .You can’t go in there. That’s not your room. Your room is this way. Watch out.”

I had to tell him to watch out for the door as I closed it because even though I pulled him back he rolled right back to go in and was reaching for the door handle with his hand. I got the door closed and stood in front of it and again told him it wasn’t his room and I’d show him where his room was.

Resident: Open that door.

Me: I’m sorry I can’t. This is the ladies bedroom, they don’t want visitors today.

Resident: You open that door or I’m gonna shoot you.

Me: That’s not very nice.

Resident: Do you really think I’m gonna shoot you?

Me: (looking him right in the eye) No. I don’t.

The resident looked at me with a steady unsmiling glare like he really did want to shoot me, raised his hand in the shape of a gun and pulled an imaginary trigger 3 or 4 times at my head, said nothing else and wheeled away in his wheel chair.

Conversation #6

I came in to bring a paranoid delusional resident a glass of water and to see if I could calm her down because nursing had just gone in to take care of her and left her in a yelling fit…which was her norm. No matter how nice you were to her or what you did anything more than dropping off her food tray and she thought you were evil as soon as you walked in the room. If you gave her medicine or tried to give her a bath she would send you right to hell if she could. “Dirty rotten criminal” was a familiar refrain echoing out of her room.

Resident: (indignant) I thought I got rid of those kinds of people! I thought they were gone! I didn’t know she worked here still, those dirty rotten criminals! I thought I was done with them! Unless they came back when they sold this place to the Mormons. Are you a dirty rotten Mormon?

Note: our facility was recently bought and owned by a corporation run by Jewish men. And I AM a Mormon.

Me: ...uhhh, well, I’m not dirty or rotten...

Resident: Get out of here! Leave me alone, you dirty rotten criminal! Leave me alone! Get out!

Conversation #7

Usually most of our residents were 75+, but this resident was much younger, which makes this conversation that much more interesting, and my favorite of the few I wrote down.

Resident: (Excitedly, talking to me as if she was recognizing an old friend she hadn’t seen in a long time) HI!!

Me: (I didn’t say anything at first. I looked at her confused because I had just spoken with her not even 2 minutes before about how she had a good nap and that she was feeling giddy. I thought it was weird when she said she felt giddy a couple minutes before because to me it looked like she was still sleepy from the nap, but now she was up and the giddiness was apparent. I was still confused with the new and enthusiastic greeting of “Hi” though, considering I just left her room a moment before and she was talking like it was the first time she’d seen me all day). Hi

Resident: Are you getting ready? We’re going to rendezvous at Red Lobster.

Me: What?

Resident: Remember? We synchronized our watches 10 minutes ago. We’re rendezvousing at Red Lobster. It’s going to be a great time. Remember? We synchronized our watches.

Let it be known: Neither one of us was wearing a watch nor had there been any conversation about watches, Red Lobster or rendezvousing anywhere. I really thought she was playing a joke but it went on:

Me: Oh man, I’m going to have to miss out on that one tonight.

Resident: You can’t make it? That’s too bad; it’s going to be a great time.

She walked off, but returned a couple minutes later back at the nurses’ station.

Resident: Hi!

Me: (again?? What is going on?) Hi.

Resident: Will you come with me?

Me: Where do you want me to go?

Resident: To my room.

Me: What do you need?

Resident: I just want you in there with me.

Me: (okaaaayyy) Aww, that’s nice. I’ll tell you what. Maybe later I’ll come in for a little visit and see how you’re doing.

Resident: (with her eyes lit up like a kid at Christmas) And you’ll be my special friend?

Me: (what the heck???? Internally kind of freaking out not sure what she means, but outwardly responding politely) Yeah, I’ll be your buddy. (I was NOT going to use the term “special friend”)

Resident: Ok, and hey, even though you have to miss out on what we were talking about earlier, you should still come by tonight. We’re going to the Caribbean.

Me: Oh really? (So hard to keep a straight face talking to her)

Resident: Yeah, and we’re going to have virgin daiquiris every night. It’s going to be so much fun.

Me: Wow.

Resident: (starts walking off and calls back over her shoulder) And don’t forget to bring Charlie!

Me: Who’s Charlie?

Resident: (stops and thinks) Oh, you know. Every time I see someone pulling a bundle behind them I always call it Charlie.

Me: (What the…??)

Resident: (Laughs and walks off again calling over her shoulder) Don’t forget to bring your hubby!

Monday, March 12, 2012

Shallow gene pool

I have recently decided that liking someone just because they are smart is just as shallow as liking someone just because they are pretty.

Our phenotype is genetic. Or at least it used to be. Aside from hair dye, makeup, cosmetic surgery, etc. the way we look is determined through a combination of our parent’s genes. We can enhance our looks through clothing, jewelry and makeup, and ensure our bodies are healthy and therefore attractive through appropriate diet and exercise, but beyond this we are born with what we have and I think most will agree that some are born more physically beautiful than others without doing anything to earn it. They were just lucky. Even though they have beauty making them physically desirable it doesn’t mean they might not be a little “slow” or complete jerks. Because of this, and with the knowledge that “beauty fades” it is considered shallow to be attracted to or love someone based on physical appearance alone. There has to be something more substantial to base your love on.

Like intelligence? You never hear of anyone badmouthing someone for being attracted to someone because they’re smart, but really smart people are right there in the same lucky dream gene pool as the pretty people. Those people who are naturally smart, who can take everything in on the first go around and pass the test without taking notes or studying, who can say their alphabet backwards whilst completing a level 4 (or whatever the hardest level is) Sudoku puzzle, were lucky to be born with a brain that easily calculates, solves and learns. They didn’t necessarily do anything to earn that ability. And just because they’re smart doesn’t mean they’re not really ugly, or complete jerks. Therefore, I have concluded that to be attracted to someone just because they are smart is just as shallow as liking someone just because they are pretty.(Enter here childhood memories of the Anne of Green Gables movie when Diana says, “And Gilbert Blythe did say that being smart was better than being pretty”. FALSE. I have just discovered they are equals.)

There is a however. If a person works hard to be smart, I find that attractive. I also think it’s attractive when a person cares about their appearance and puts effort in to staying healthy and presentable. I’m not saying that a person who doesn’t have to work hard to be smart isn’t attractive. Just like there’s no denying pretty people who don’t have to try hard to be pretty are attractive, but alone smartness isn’t enough just as beauty isn’t enough. Beauty fades, sure. So does smartness. Dementia eventually will catch up in some degree with most people, and then we’ll be dumb and ugly with our car keys taken away wondering where our breakfast is even though it’s 3 in the afternoon. What have we got left? That’s what’s important. Yet despite this, no matter how sweet, thoughtful, good, or caring he may be, I don’t think I could ever become seriously involved with a stupid person and definitely not an ugly stupid person. It’s hard, but I’m starting to accept that I am a shallow person.