uniquely-ironic's tags:
Something happened yesterday that reminded me of why I got out of working as an ER clerk.  Curiously enough, that reason or issue still remains, and I'm not sure it will ever resolve.
 
I was delivering a document to an executive here late yesterday afternoon.  I went looking for the lady it needed to go to, or at least her admin.  She works on another floor and when I arrived that whole end of the floor seemed deserted.  I decided to just leave the document with a note on her desk, so I went to find her office.
 
As I entered the office I found all the people who worked at that end of the building.  They were all standing at the far end of this lady's desk, but I didn't see the lady.  I noticed that they were looking down and then I heard some moaning.
 
She (the lady executive) was having a seizure.  I'm not sure how often this has happened to her before if at all.  Instead of rushing in and getting all excited I caught her admin's eye and asked if there was something I could do.  From my observations she was already safe from falling since she was obviously laying on the floor, she was breathing since she was moaning, and she had 3 people who were observing her to make sure she didn't harm herself.
 
The admin seemed outwardly calm, but her mind was very flustered.  She couldn't seem to figure out how to get this lady's husband's phone number to call him.  I offered to get that and walked down the hall to the nearest phone to call our HR director.  She asked if 911 had been called and I told her I had no idea.
 
I guess it didn't occur to me that with 4 adults present that no one had called 911.  I went back and checked with the admin who said yes, they had done that.  I called the HR director back and she had located a coworker with the husband's number since the executive hadn't updated her HR file since she was single.
 
Then, and this is the part that disturbs me most, I walked away.  I went back to my desk as if nothing had happened.  I didn't stop to discuss it with anyone.  I didn't go over to visually make sure she was okay.
 
Years ago when I first started clerking at the local ER I would go home in tears some nights.  I was upset and sad a lot when bad things happened to the people coming in.  It was kinda hard on me, but at least I felt something.  Over time I stopped going home that way.  I could walk away from work in the middle of a code and not give it another thought.  I could look at a child that was crying and bleeding and cooly calculate whether or not the wound was something that I should go fetch a nurse to see right away, or register the patient first and then get the nurse.
 
The turning point for me was one night when we were shoving a body into my bosses office so we would have space to treat patients.  I laughed instead of being horrified when the gurney got stuck in the doorway and the nurse had to walk across the gurney and body to unstick the jam.  I started looking for another job not in the medical field the next day.  I felt like I had lost my humanity and empathy.
 
Why can't I seem to connect to a situation that obviously should upset or disturb other people?  Have I burnt out so thorougly that it's not coming back?  I miss having the ability to connect with and empathize with people's feelings. 


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Comments

  • MissMimi said on Oct 22, 2008....
    It sounds like you connected, uni.  You did what you could -- you asked if you could help, and you contacted the HR director.  I'd much rather have someone calm like you around me in an emergency, than someone who is too flustered to do anything.
     
    When you work in an ER, I would think you have to develop those boundaries.  Otherwise, you'd be a basket case. 
  • uniquely-ironic said on Oct 22, 2008....
    MissMimi - *sigh* some days I'd rather be a little more human than machine.  I am appalled that I didn't go check on her myself I guess.
  • cuppajava said on Oct 22, 2008....
    You did you felt what you needed to do,and that was that - the lady was obviously being watched over already and there was probably nothing more you could have done.After all - you werent there when it happened,so you would have been of little or no help to the ER guys anyway.
    Maybe if you had stuck around it would have reminded you why left the field in the first place

  • nytquill17 said on Oct 22, 2008....
    I'm siding with Mimi.  I can see why it would feel disturbing to you.  But I think it's actually healthy.

    I have tested as highly empathic and it is NO picnic I promise you.  You feel everything, and that's not that much better than feeling nothing.

    What you have is a level of, like mimi said, boundaries.  You have to draw the line between what is you and what is not you.  Us highly empathic folks have trouble drawing that line and it feels like everything you see is happening to you.

    I don't think you sound mechanical.  I think you just have a healthy ability to recognize what you can and can't change in a situation and when to leave it in better hands.  I mean, your "connecting" to or going back to check on this lady was not going to make her seizure any better or worse, was it?  You made sure everything within your power was done for this lady.  And beyond that, you didn't know her, didn't know her family, and there were already too many cooks.  I really don't see anything wrong with that.  One of the biggest problems first responders face is "helpful" bystanders getting in the way.

    And plus, you obviously WERE bothered by it.  It stuck with you all day and you came here to write about it.  What would be truly inhuman would've been to walk away feeling about as effected as if you had just watched a stoplight change, you know?  You recognize that this is a serious and important thing you just saw.

    The thing about moving the body...sometimes we get too hung up on this respect for the dead business.  It's important, sure!  A dead person had family and friends and a whole life behind them and now they're gone, and it's important to acknowledge the seriousness of that.  But not every situation involving a dead person or a body needs to play out in hushed, reverent voices.  Sometimes death is downright bizarre or even comical, and it's healthy to recognize it for what it is.  You weren't laughing at the dead person, you were laughing at the comedy of a gurney carrying a corpse getting stuck in a door.  It's the kind of thing we'd see in some stupid American Pie type movie and all laugh - we're mortified thinking about it, but it's still funny!
  • uniquely-ironic said on Oct 22, 2008....
    cuppa - you're probably right.  I did manage to heavily eyeball the paramedics that responded.  They're always sooooo cute!
     
    nytquill - I have a hard time knowing whether it's boundries or being numb some days.  Thanks for the feedback.  I guess I could assuage my feelings a little by checking with her admin to make sure everything was okay.
  • skald said on Oct 22, 2008....
    No you have not burned out your empathy and if she has epilepsy there is nothing that one could do but to take care of that she does not harm her self, bite the tonuge and so on.  
  • uniquely-ironic said on Oct 22, 2008....
    skald - I have not seen her today, I hope she's okay.
  • mobil said on Oct 22, 2008....
    It's not about being burnt Uni, it's about self preservation. My sister said to me two days after my Mother arrived here and I had told her that I thought Mom was dying last nite. She has Parkinson's and dementia.
     
    She said; Mom has died close to one hundred times here, if you go with her in earnest each time she says she is dying, you are a dead man!
     
    Well, Mom damn near died again this afternoon and I didn't go there with her emotionally. She's fine now, I'd say you had to quit going there emotionally a long time ago Uni.
  • queenparanoia said on Oct 22, 2008....
    you are connected uniquely... that's why youre affected... you know this is a reason i dont want to be in the medical field. that's why i'm impress to some people who are calm when things like this happened.
  • silver_phoenix said on Oct 22, 2008....
    u-i: i think given the situation you helped out quite a bit. You pitched in and showed your concern. i'm sorry you feel like you're disconnected though (but you aren't!!)  :-)
  • Lucytorial said on Oct 23, 2008....
    You have enough going on, when our senses are already overloaded those experiences are dulled by our brain and I can understand this, having already experienced it I don't think you've lost touch sweetheart I think you've gone into survival mode. 
     
    We only have so much to give, you honey have enough to keep yourself afloat, with what you are going through relax I know and many here do to that you have enough heart to be affected with this.. I could go on and say a lot mroe but I won't, I'm emailing you instead... TL ♥
  • uniquely-ironic said on Oct 23, 2008....
    mobil - I know you're right about not going there.  It still bothers me to have to do it.
     
    queenie - I'm convinced anyone can develop that "calm" but whether they want to is another thing.
     
    silver - thanks
     
    Lucy - I am overloaded, true.

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