the liver cirrhosis patient
she was difficult to please and was not pleasant. she complained about almost everything, and she had this look that made her frustrations about life and what she did to live it very palpable.
used to patients like her, i didn’t really mind the coldness and the ungrateful attitude. it was not that i was immuned to it, it was just that i have learned not to take situations like these personally because it will make me an obvious loser. i reasoned she had every reason to behave like that.
she was extremely jaundiced and her large abdomen said it all. i was told from report that her liver cirrhosis was secondary to alcohol abuse. i looked at her chart and noticed that this year alone, she has been in the hospital or clinic 48 times.
i didn’t think i had enough time to connect with her, so i didn’t even try. i know that sounds mean, but i will not lie about it. i expected the night to drag along very slowly, and i sort of felt bad about that, but i knew that if i just get out of her way, we will both spend the whole night in peace. i will take care of her needs, and she will sleep the night away.
i thought to myself: “when the night is over, i will hand her care over to the next nurse, and i will forget all about her. she will be one of those patients who pass by me and whose name and face i will never remember”.
i was wrong.
she threw up twice. she wanted to be cleaned. she had an accident. she wanted to be cleaned. she demanded three blankets. she wanted her back rubbed. she wanted the light off. she wanted her hair stroked. she wanted the curtains pulled. she wanted the temperature up. she wanted her pillow flipped. she wanted water. she wanted to change her gown. she wanted booties. she wanted the door closed. she wanted somebody to sit next to her. she wanted peace. she was scared.
just when i thought i was going crazy with all the requests, i realized that she was not talking to me. she was demanding all sorts of things alright, but not from me. she was asking her husband. not nicely, but with urgency.
her husband, he was one of a kind. not even once did i see in his face that he was getting weary. the demanding attitude that usually irk even very loving family members did not even rattle him. he was consistently kind and empathetic. he treated her with such gentleness and care, that the sight of him cleaning her vomit took my breath away. the way he ran his fingers through her hair made my heart flutter. he talked to her in the softest voice possible, his presence calmed her down. it also warmed my soul.
it is amazing how things just get to you sometimes. all of a sudden, it dawned on me that i have been too cynical lately. that other than my own definition and experience of love, i have questioned its reality in other people’s lives.
i thought about it, and i thought about it hard. was there something in her that only he can see? what if it has nothing to do with her? what if it was just him, the way he was built? a man born to truly love. one who truly knows how treat a woman kindly, unconditionally, without questions.
maybe that explains everything. maybe he was just one of the very few.
but still. there are questions…
if love is undefinable, how come some people can make it so tangible?
if love can be this beautiful, how come only a handful can actually say so?


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Pingback by Alcohol Rehab » Blog Archive » the liver cirrhosis patient — October 12, 2007 @ 10:10 am
Credit to you for noticing him. I hope she gets the help she needs.
Comment by Jane — October 12, 2007 @ 1:19 pm
Inspiration in a very surprising setting.
Comment by The Curmudgeon — October 12, 2007 @ 6:25 pm
That’s so surreal. I had a patient like that the last 2 days…she had come in for a cardiac cath and ended up with her right leg amputated, on dialysis with a trach. The hospital stay that should have been 36 hours ended up stretching to 9 months. She was sweet and nice and police to me…but to her husband, she was a total monster. I think when ill people tend to take it out more on the ones they love than strangers, because they are secure in their love I guess. That’s such an inspiring story.
Comment by Vixen — October 12, 2007 @ 7:47 pm
On behalf of this patient, thank you, May.
Too many liver patients are judged by their caregivers. Alcoholism is a progressive disease and of course behavior is one of its major components… but it is after all a disease, and I know that you know that, despite the job difficulties it presents.
I go through the same troubles at least weekly with alcoholics at my own job. Addicts. They are hard to deal with, and they can get very very sick/
Comment by shrimplate — October 13, 2007 @ 9:09 pm
On behalf of this patient, thank you, May.
Too many liver patients are judged by their caregivers. Alcoholism is a progressive disease and of course behavior is one of its major components… but it is after all a disease, and I know that you know that, despite the job difficulties it presents.
I go through the same troubles at least weekly with alcoholics at my own job. Addicts. They are hard to deal with, and they can get very very sick.
Comment by shrimplate — October 13, 2007 @ 9:09 pm
oops! Double post.
Comment by shrimplate — October 13, 2007 @ 9:11 pm
I am so glad that happened to you. I was worried about you because yes, you did seem to be a little bit more cynical with each post. That can be a warning sign of burnout and you are too good a nurse to lose. keep on keepin on Florence. keep that lantern lit.
Comment by oddrie — October 14, 2007 @ 11:33 am
Bless her husbands heart. I’m sure his life is just in turmoil from living with someone like that. I don’t drink and it’s because I grew up with alcoholics. I can’t imagine. Take that back, I can. I just..well…you know what I mean. I don’t think I’ve ever read a post of yours May that made me question your ability to be a caring nurse. If EVER a patient I would hope my nurse would be like you….
Comment by kimmyk — October 14, 2007 @ 4:51 pm
What a beautiful story…thank you so very much for sharing this. It has definetly brought a few tears to my eyes…
Jenny in Maine
www.ThisEveryDayLife
Comment by Jenny in Maine — October 15, 2007 @ 5:16 pm
Thank you for noticing his kindness and sharing it with the rest of us. When I was in the hospital earlier this year I was demanding of my husband as well. I hope his efforts made my medical professionals’ jobs easier and not more difficult.
Comment by Sharon — October 15, 2007 @ 8:56 pm
its takes someone very patient to see through those annoyances
Comment by Rygel — October 16, 2007 @ 8:14 am
What a nice post.
Your honesty and observations of the good, the bad, and the ugly make me miss beside nursing a little. It is such a crazy job… I’m glad there are people like you out there.
Comment by Tracy — October 18, 2007 @ 7:40 pm
my husband too is suffering from cirrhosis,i too lose my patience sometimes.after reading this i was touched and have got the inspiration to always be patient towards him as he needs me always.i love my husband and always want to be loving as he is suffering.thanks for the inspiration.
Comment by harleen — November 29, 2007 @ 3:13 am
I am trying to identify if my mother-in-law has this disease that is how I ran across your story. After reading your entry, I cried and my anger has lifted. I can again see the sad side of her life and will offer her help where I can and will no longer be angry at her for being “how she is”. Thank you.
Comment by shannon — December 17, 2007 @ 1:10 pm