wasted apology
she didn’t know she pooped.
since it was the kind of poop that usually happens when patients don’t know they pooped, the pads were soaked, and the bed sheet needed to be changed. i had to get somebody to help me.
she was almost 500 pounds, and was unable to move by herself. there was me, and another filipina nurse. i don’t have to elaborate how challenging it was to clean her up.
while pulling the bed sheet from underneath her, the other nurse kept telling me to sort of do it faster, because she can’t hold on much longer, and the patient was being pushed onto the siderails. i said “it’s hard” three times. it was hard to pull the sheet, that’s what i meant.
when she was all clean and settled, i asked her if she needed anything else.
“no, i just want to let you know, that i have been here for a while and you are the very first one…”
i felt a little warm inside. i was ready to be thanked, and i was eager for the compliments. after all, i reasoned with my humongous ego that after sweating my butt off doing all those things for her, a little pat on the back won’t hurt.
“…who totally made me feel like a completely worthless person…”
say that again?
“…you know, i have cancer, and i can’t help it. if i can do it myself, i will not ask you to do anything for me. i will do it myself and not bother you. you don’t have to say hurting words like that.”
okay. in seconds, i tried to press the replay button, and watched where i messed up and said hurtful things. since the video in my mind wasn’t that clear, i politely apologized, and asked her to refresh my memory.
“…it doesn’t matter anymore, does it? you have already hurt me, and i just feel so bad.”
i didn’t know what it was, but her tone made me feel like crying. her vindictive voice made me want to go home and take care of patients who weighed much lighter than her. i was overwhelmed with a sense of self pity. i was thinking all sorts of negative things. it depressed me that i had such a big need to be complimented. it depressed me that i sometimes think it’s just about me.
i wanted to cry but did not have the luxury of time and privacy to do it.
so i bit my lips, gathered my wits together and told her i have no idea what i have said or done that extremely offended her. since she doesn’t want to let me know, i told her i had no intention of hurting her in any way, but since i already did, i sincerely apologize.
i was about to leave when she finally filled me in.
“you kept saying “it’s hard”. i know it’s hard to do things for me, but do you have to rub it in and say it in my face?”
i explained that i meant pulling the sheet. i explained, but she repeatedly said she felt bad. i explained, but she emphasized I made her feel bad. i explained, but she concluded it was just so bad. i gave up with the explanations, and concluded with further apologies.
she won’t have any of it.
it is not easy to reason with a person who feels like the whole world is trying to make her life miserable. she lost her husband a few months ago. she lost her mom a couple of months before that. she has two kids, one autistic. the other one, her sister would not take to the hospital to see her because she feels it is not good for him to see his mother in her sick state. then the cancer.
i totally get all that.
but still.
it is not easy to be “accused” of being mean. she made it sound like i go to work just to make sure i hurt at least one person.
obviously, i have issues.


Hi…I’m not a nurse, but I work with them. I work at a hospital, and I’m in admissions, and I work with patients, although I don’t do direct patient care. I happened upon your blog because when I signed into mine, it had a list of recently updated blogs. I chose yours because I thought, “Should be interesting”. I actually make my living fighting with nurses, because I’m the one who calls them and asks them if they can take an admit (inpatient, mostly). They hem and haw and make every excuse in the book (most of them do). I know their job is hard, and I really have no idea what it’s like, but I have my job to do, too. Anyway, I digress. I read your entry on the apology and I have had that happen before where something was said, and misinterpreted, and then when you try to explain to the patient your situation, they want nothing to do with it. Damage is done. They are sick, and they are sick and tired of being sick and tired, and I imagine they don’t have a lot of time in life to be rationalizing with an admit clerk (or whoever). But I wanted you to know that I understand, and sympathize. It’s difficult working with sick folks, and it’s even harder BEING the sick folks. Some folks just can’t be bothered with explanations, sick or otherwise. When I get patients like that, I want them to know that I’m not a horrible person, and that I care, but some just block you right out. That’s healthcare, I guess. Anyway, I enjoy your blog. Thank you.
Comment by Amanda the Great — March 7, 2006 @ 10:25 am
If she’d read your blog, she’d know you care.
It’s not fair, is it?
Hugs.
Comment by Anonymous — March 7, 2006 @ 4:46 pm
Sometimes patients will hurt our feelings. They don’t understand anything beyond their own illnesses but when those that do take the time to say thanks, it makes our hearts sing. We are in it for the patients, not for the money, that’s for sure.. Nice post!
Comment by Nurse Practitioners Save Lives — March 8, 2006 @ 4:57 am
I’m sure it wasn’t you May. I’m sure it’s the fact that she had to have someone help her in such a way she couldn’t help herself. People who are hurt lash out-we all know that. But it’s still hard to know you tried to help her..and she didn’t understand it.
Maybe in the darkest hours when she can’t fall asleep she’ll replay the whole situation and realize she was wrong and embarressed.
Comment by kimmyk — March 8, 2006 @ 7:04 pm
It was a misunderstanding and you tried to do your best to explain. Sometimes people just don’t want to hear it and they don’t care if you’re sorry. They are the kind of people who are up to their eyeballs in their own issues. There’s nothing you can do about that. You tried and that’s all you can do. You’re a good person… Don’t doubt that! Hang in there…
Comment by unsinkablemb — March 8, 2006 @ 11:38 pm
That’s why I’ve grown to love the work we do. I love the challenge of maintaining the delicate balance of helping and hurting. There are always times when the delineation between the two becomes so thin we can no longer say if we are helping or if we are ven more adding to their hurts and pain. Add to this the risk that we, ourselves, could end up devastated and depressed in the process. It’s a challenge, May. It’s a challenge that happens every day. Hang on. Hang tight. Kaya yan!
Comment by Dr. Emer — March 9, 2006 @ 8:34 am
Boy, I have been in that situation a time or two! It’s such hard work to move and clean a person who weighs that much…that’s a fact and nobody knows how hard except the people who do it. I worked with a patient over 500 lbs that cried and screamed the entire time we cleaned her, every time. And many nurses went home with a lot of back and neck pain afterward. We hurt, too! And yes, it is hard. I don’t blame you for saying so!
Comment by RNrealnurse — March 10, 2006 @ 8:40 am
You can’t do anything about the professional victims out there…
There are people who expect everyone to be mean to them, and they will read that into anything you say (or don’t say) or do (or don’t do)
Keep your head up, and remember all the ones who DID appreciate all you did…
Comment by DisappearingJohn — March 12, 2006 @ 1:12 pm
Her injured feelings had nothing at all to do with you. After all, you were only trying to help and it was hard. For real.
Anyways, her complaints sounded like old stuff to me, going back a long time, way before you came along to wipe up her sorry behind.
Still you gotta feel for her, despite her efforts to push people away.
Comment by shrimplate — March 13, 2006 @ 5:09 pm
Hon, you are not wrong. About anything. What the hell? WHEN WOULD IT NOT BE HARD TO PULL A SHEET UNDER THOSE CIRCUMSTANCES?
Although, maybe next time, you’ll just want to grit your teeth and say something like “OK! I’m with you!” or anything that couldn’t be misperceived.
What that patient is doing to you is PROJECTION. It’s one of those defensive (although very negative) coping mechanisms she uses to make herself feel better. Remember Psych 101? Well, I just finished mine and I know that not all the Psych patients are exclusively treated in the psych ward. She’s probably just feeling scared, vulnerable and suffers from very low-self-esteem.
Although it may hurt temporarily, you must know that it’s not about you. It’s about her. You did and said the right thing by apologizing, though, because she will probably feel better and be less angry as a result.
hang in there. Good post!
Comment by Third Degree Nurse — March 17, 2006 @ 11:18 am
I am a nurse who works on a Palliative Care Unit. I find some patients are feeling angry and miserable and they in turn want to make someone else that way too. It is hurtful and difficult to take sometimes. Fortunatley, the good outweigh the bad mostly. It’s funny though, how you can receive so many thank yous and signs of appreciation, but it takes one negative sometimes to wreck your shift. I guess we know how hard we work and under such short staffed situations. We do the best we can and honestly want to leave a room feeling we have made a difference. I guess we are vulnerable too.
Comment by Blondy — March 18, 2006 @ 6:16 am
There are some patients–some co-workers–some family or friends, even!–whom we cannot help but hurting, or they cannot help hurting OUR feelings.
Misunderstandings happen.
It’s all in how you react, and you tried politely and genuinely to “fix” it.
Great, honest post.
Hh
P.S. I found you via a comment you left at donorcycle. Great blog!
Hh
Comment by I am a Milliner's Dream, a woman of many "hats"... — March 19, 2006 @ 11:43 pm
The cost of love is compassion, the dues you have paid will bring you much.
Comment by Geno — March 20, 2006 @ 3:28 pm