One of the most significant days in my life so far was the day that I got to watch open heart surgery in person. More specifically, a triple coronary artery bypass graft, also known as “CABG”. Not only is this an intricate surgery, but it was being done on an 85 year old woman, which substantially increases the risk of the surgery. I was doing a rotation at the Travis Air Force Base hospital in the Intensive Care Unit (ICU), when I overheard someone talking about the surgery planned for the next day. I couldn't believe what I had heard.
This week I have seen a very interesting case at the Vine Clinic. A 17-year-old female who came in with her mother had a chief complain of joint pain and a severe headache uncontrolled by Ibuprofen. She has recently seen in the ER for joint pain. I observed my preceptor conducted a thorough history and physical exam. She started joint pain on the right side of her knee and then the pain migrated to the left side of her body and affecting all the major joints.
They laid her on my chest for 2 minutes then took her away. She was rushed to the nursery to get put on oxygen. She was having a little trouble. She stayed in the nursery for 2 days, then the nurses finally brought her to me. Those where the hardest 2 days of my life, she was with me for 8 months.
Rotation day five the Minden Lab. Today was a busy day got to draw many people and they were willing to let me. We also had some calls to the ER and drew on a person that was having chest pain we drew a Cardiac tube he told us that he was worried because his nice was going to have surgery. The phlebotomist asked what kind of surgery he’s niece was having he then told us the story of how his niece had been thrown up in the air and that the little girl had fallen and hit her head. He thought he was having chest pain because of how worried he was.
Her parents found out she was deaf on December 24, 1974. She had a very high fever so they went to the hospital where the doctor prescribed very strong antibiotics. A few months later she was brought back because her mother suspected something was wrong. The doctors had found the H. Influenza virus in Heather’s blood and later in both of her ears. She was told she would not achieve more than a third grade education and would not develop much verbal speech because she suffered major hearing loss (Bates).
Brittany Maynard chose to the “Death with Dignity” option after learning that she only had six months to live after her brain cancer became more aggressive and turned to a grade 4 glioblastoma. She moved from California to Oregon in order to legally receive a prescription of a lethal dose of barbiturates. Oregonis one of five states in the U.S that has the passed the Death with Dignity Act. Brittany chose this option because she did not want to go through radiation or live the last of her days in pain while her family watched. Brittany stated, “Because the rest of my body is young and healthy, I m likely to physically hang on for a long time even though cancer is eating my mind, and my family would have to watch that,” (page 565).
“Four times fifty living men, … with heavy thump, a lifeless lump, they dropped one by one” (lines 216-219). Psychologically, it is mentally killing the Mariner. He is listening to his crew’s dead bodies hitting the deck, one by one by one. The Mariner is a victim of survivor guilt. His crew died because of his unnecessary action toward the Albatross.
For example, Brittany Maynard (November 19, 1984 – November 1, 2014) was a woman with terminal brain cancer, which cannot be cured. She lived with unbearable pain such as constant headaches everyday of her life. She moved from California to Oregon where Physician-Assisted Suicide (PAS) is legal and began taking prescribed pills from her physician. “My body is young and healthy; I am likely to physically hang on for a long time even though cancer is eating my mind. I probably would have suffered in Hospice care for weeks or even months.
In the article titled, "The Lived Experience Of Pediatric Burn Nurses Following Patient Death." (Kellogg), nurses who work in the pediatric burn unit are interviewed about what they do as well as how they deal with the loss of patients. The conclusion of these interviews is that these individuals do not feel well prepared enough on how to properly handle the death of a patient and they all seemed to agree that grief counseling would have greatly increased their ability to get through these tough losses without starting to hate their job or not doing their job well enough. Another real life account comes from a working NICU nurse whom I interviewed named Clorinda Bryant. She told me all about how she absolutely loves her job and how she loves working with all the babies, but she concluded that by saying that it is a tough job to perform because “these babies have just come into this world and it seems unfair that sometimes they are taken out of it so quickly.” (Bryant) She told me how the hospital she works at does not have any services available to its workers regarding counseling and that if they need help dealing with a loss, they are expected to get their help outside of work and not deal with it there.
Today plastic surgery is being embraced by the millions and highly looked upon. Advertisements and media incorporated young, beautiful women to sell the product with fake and flawless women in advertisements, an ideal body is created by the minds of viewers. This causes viewers to do as much as possible involving plastic surgery, to look like the models. For Instance, in 2015 more than 13.5 million women went under the knife by surgeons certified by the American Board of Plastic Surgery, says the American Society of Plastic Surgeons statistics. The five most popular invasive surgical procedures for women in 2015 were liposuction, breast augmentation, tummy tucks, eyelid surgery and breast lift (ASPS statistics).
I needed to go to the emergency room, so I did. I was wheeled into one of the open rooms to be seen by the nurse and doctor. The nurse came in right away to take my temperature. Then she left and we waited ten minutes for the doctor to check my ankle out. I was shivering in pain.