to care, not to scare
it’s not that it wasn’t funny. and believe me, it’s not that i don’t have a sense of humor. i found the whole thing realistically funny. it is one thing to be witty, it is another thing to be down right humorous. i’m pretty sure you will agree with me that michelle is the whole package.
with an opening like that, i hope i made it crystal clear that this post is not against michelle. i do not have any intention to offend her or any of her avid readers, (because i am one of them) and i totally respect her and what she does, both as a doctor and a mother, as she relates in her blog.
the last picture of one of her latest scutmonkey cartoons was laugh out loud funny. it didn’t only make me roll over the floor laughing, but it amazed me how michelle accurately integrated humor into the reality that is so universal among the heirarchy of doctors. the whole picture was undeniably funny, except for one thing.
one very disturbing thing…
the generalized image of a headnurse. a person who “eats medical students for breakfast”.
the fact that nobody among the 40 commenters (as of this time) expressed concern about this image of a headnurse is an implication that this must be happening everywhere where there are medical students and headnurses. it is implied that this is not just a cheap shot to use hyperbolic humor, but it is the sad reality out there. even i, can attest to that reality. it is true that there are nurses like them, and they are vicious. in fact, they not only eat medical students for breakfast, but they also snack on new nurses as if they are entitled to.
my whole point is not to disagree with the issue implied by michelle, but to understand and eventually put an end to this whole “you-are-just-a-medical-student/intern/newbie-i-am-the-mighty-headnurse-you-must-kiss-my-ass” scenario in the teaching hospitals. i know that is a difficult task, but you can’t blame me if i want to try.
so, charge/headnurses, why THE attitude?
why is this so prevalent? is this some kind of a revenge? were you humiliated, insulted, offended, or abused by doctors in the past? do you get a certain exhilirating sense of power and satisfaction if you embarass someone? were you battered children? are you lonely? do you need attention? don’t you have enough self esteem to keep your mouth shut instead of criticise? where are you coming from? what are you trying to accomplish by being mean? what are you trying to teach those who are closely watching you?
WHAT are you thinking? where did you get the idea that you can smugly stand there, and ruin other nurses indirectly?
by modeling out an attitude that forces medical students to stick to a negative impression that will last a lifetime, you have built a wall between nurses and doctors that is difficult to tear. by showing other nurses that such cruel behavior can be done without flinching, you make it easier for them to fall into the same annoying cycle.
i wish i have that magic wand. the kind that i can wave over the heads of those self absorbed nurses. a magic spell that will make them realize how important it is to break the degrading cycle of “eating” people for breakfast. a wand that will make hostility and animosty disappear, and replace it with a basic sense of community.
that’s what we’re supposed to be. a commnunity. a group of caring people with a common goal. the goal to help the sick and to encourage each other. we’re supposed to be a team of professionals who provides and advocates for patients’ needs while inspiring each other to be better persons.
that’s what we should aim for, to be better persons.
we should never find it impressive that medical students are terrified to call us their ally.
that is not impressive. to me, that is saddening.


I’m one those newbie (I just transferred from med-surge to cardiac cath lab.hint*hint* ) who received scathing words from my HN, I don’t know why maybe because I’m the only newbie on her turf, or maybe i’m just a plain masochist who is willing to receive her fireball. The point is, she don’t know what she’s missing and she’s just gaining wrinkles on her face because she’s just barking on a wrong tree which is me who just take her words as pfffftt…I still can’t understand her because my 3 previous HNs were all superb in terms of treating us “the subordinates”. Or maybe you’re right they’ve been insulted or offended before.
Comment by Marie — September 5, 2007 @ 4:40 pm
This is a wonderful post. I definitely agree with your philosophy. Newbies of any position need support and encouragement—not belittling. Even when I talk to our company’s rookies about mistakes or areas that need improvement, I do it with respect for their efforts, a little humor to get them to relax—and I encourage them to keep on truckin’ with the knowledge that that they will move forward and learn more about their career with day-by-day experiences and challenges—which is how all of us learn. (I even tell them to point out my mistakes—because I’m human and make mistakes too–and they frequently do so!)
Comment by The Bohemian Road Nurse — September 5, 2007 @ 5:55 pm
I agree. There are plenty of problems on my unit, but I’m happy to stick it out because the nurses there are so supportive and I’m not getting eaten alive. Don’t we all agree that a supportive work environment is better?
Comment by birdy — September 5, 2007 @ 6:21 pm
In the pediatric practice I recently left, we had 3rd year medical students rotate through our office. They spent a month with us. The nurses, the rest of the staff, and the patients all LOVED them. They were all so eager to learn and appreciative of the time we spent to share our knowledge. They are the future doctors, but they looked up to us nurses for, at this point in time, we know more about a lot of things than they do. We did not make them feel inferior with our knowledge, we were glad to share it with them and glad that they were willing to learn from us. We laughed around the lunch table each day. And held a party for each when their time with us came to an end. It baffles me that it would be otherwise. This is what the relationship between doctors and nurses should be… mutual and respectful. These youth are the doctors who will be caring for us when we are old. Why not treat them with the same compassion we hope they one day give us.
Comment by Lisa — September 5, 2007 @ 6:41 pm
I had a nursing professor who ate her young. Or rather, she preferred the young but those of us who were older, had children, or a bit more experience to make us a little harder to impress she hated with a passion. She even managed to get a perfectly good student who was the mother of three kicked out of the LPN school due to the fact that there was a conflict of personality.
There was and is no reason to act like this. Good post, thank you for getting the message out.
Comment by Kit — September 6, 2007 @ 7:04 am
Like all the Scutmonkey cartoons, this one should be taken with a grain of salt. Our friend Michelle takes artistic (and medical!) license in all of her cartoons. For example, I can tell you all orthopods are not the cavemen type in her cartoon. She’s using the sterotype to make a comedic point.
I’ve worked with crappy HNs and great HNs over the past 34 years and have found that the good ones far outnumber the others. There will always be people on a power trip at work (all kinds of work) and the person on the bottom generally feels it the most. That said, how many staff nurses do you know who belittle or criticize CNAs, LPNs, lab techs or RTs?
Comment by Candy — September 6, 2007 @ 8:31 am
Hmmm.. I noticed that too. Not in real life though but in most TV medical dramas. Maybe they just want to show something about being tough on the job and all, or maybe that’s how they are thought to be.
Comment by Ferdz — September 6, 2007 @ 8:37 am
I agree that it is a generalization about charge nurses. There are good, there are some bad, but its usually the bad apples that get remembered, noticed, and commented on.
Everyone complains about the people that berate them, but rarely does anyone comment when someone keeps the shift flowing, treats everyone equally, and rarely causes anyone any grief
Comment by Disappearingjohn — September 7, 2007 @ 8:17 am
wow….how true is the saying about the squeaky wheel? i find most i come into contact with that feel the need to belittle those around them or complain about EVERYTHING you do, or go power tripping with a vengence are usually the ones who feel insecure or are inadequate about themselves in some way and they feel the need to prove something to everyone in their path rather than looking in the mirror.
as far as the cartoon, i feel no pangs of injustice being done to head/charge nurses around the world. it is simply how some are and have and will act in their experience. and lets be realistic, there have been occasions where i have wanted to high-five a few of those head urses for what they said, but definately NOT for the manner or place in which they did it. no excuse by any means for that behavior, but i would rather concentrate on the here and now and continue attempting to tear down those stereotypes one nurse and one doctor at a time with my practice.
great post BTW.
Comment by melissa — September 7, 2007 @ 12:36 pm
maybe because she was treated the same way before… its a stupid thought… but i’ve heard that reason given by residents, consultants, senior interns and nurses more than a couple of times
Comment by Rygel — September 10, 2007 @ 4:56 am
Great post!
Comment by SeaSpray — September 13, 2007 @ 10:32 pm