MY wife’s mother died a few days ago. A stroke it was, suffered on Father’s Day.

One key element of nursing has survived innovation - love

It was very sudden and deeply distressing as a result, for though she was 85, she had been in good health for a person of her years.

She’d lived by herself in her own home, did for herself, managed her affairs with careful and practiced prudence.height="270" />

In fact, until the last week of her life, she’d led a richly independent existence, enjoying her friends and family, continuing to keep to the joys and passions she’d followed all her varied and interesting life. Loved and loving, she was a treasure beyond all value and her radiant spirit will be very much missed.

On that Sunday night, the family was given the shocking news that Gwen would probably die within the next 24 hours, but in the event, she defied the doctors’ judgment, surviving until the following Saturday.

And that was a blessing, for those six days meant my wife and her sisters, plus seven grandchildren all had the opportunity to say their farewells, to come to terms with the dreadful events which were unfolding, to be drawn together and supported by the strong bonds of family.

So there was much for which to be thankful; the time to say goodbye, the realisation there would be no prolonged suffering, the fact that Gwen would be spared the anguish of permanent incapacity.

But that is private really, and not a matter to be aired in a forum such as this, for all families must come to terms with such a loss at some time.

But as much as grief IS private, the fates conspire sometimes to oblige us to suffer our worst sorrows partly in public.

In my wife’s family’s case, their ordeal was played out in a public ward at Gosford Hospital on the Central Coast and at a time when the news is routinely dominated by stories of the NSW Health Department’s inadequacies, by reports of the serial failure of our public hospitals, the treatment offered to one family by staff at one particular hospital is most certainly a matter worthy of this discussion, a most important matter of public interest.

And those staff members, the doctors, the nurses, the ancillary and support staff – every single staff member we encountered during our six-day vigil - were without exception, exemplary. They were thorough, professional, dedicated, and the level of help and support they offered, singly and collectively, was faultless.

But even to say that is to say too little – way too little. For we have a right to expect “thorough, professional and dedicated” service from medical staff.

We were given much more than that.

In the Emergency Department, we met the young intern, Daniel, who treated Gwen on her arrival and whose dreadful duty it was to give us the news she could not survive. Can you imagine a more difficult job?

Yet with the softest kindness, he helped us to comprehend, guiding our lay understanding so the truth could be absorbed. My wife and her sisters saw him several more times during their stay at their mother’s side and on every occasion they drew new strength from his presence, new peace from his gentle reassurance.

In the ward to which Gwen was admitted we met the registrar Gareth and another young doctor, Lauren who gave of their time, of their compassion and their unfailing sympathy without limit, despite the never-ending demands they and all doctors seem to face in public health. They were simply wonderful.

There was the consulting neurologist Dr Reyneke. Holding Gwen’s hand and stroking back her fine white hair, she called her by her name, her tone quiet and reassuring. Yes, she told my wife and her sisters, it was very possible their mother was aware of their presence, had heard every word they’d whispered to her. It was a gift beyond all value.

There were the day nurses, Tracey and Brooke - and others who names I can’t recall – who demonstrated only that nursing is not a job, not even a profession. It’s a calling, a true vocation adorned by those devoted, dedicated women. Tracey told us an indicative story.

A while ago, nurses at the hospital had called a stop-work meeting, not to ask for better pay, though - God knows - they deserve it, but to ask for a better nurse-to-patient ratio so they can do a better job.

There was the night nurse Lynne (I hope that spelling is right) who sat with the family for three nights, including the last before Gwen slipped away just after dawn. About every ten minutes or so, like a guardian angel, there she was at the doorway, checking, monitoring, watching.

There is simply no word to express the level of care and compassion which Lynne provided – except perhaps one. Though she didn’t know any of us, had never met Gwen before she fell into her coma, there was no mistaking what Lynne had to offer. It was love.

At such times of crisis, the mind turns to thoughts of the infinite, of what might lie beyond the great divide, of the life lessons we ought to keep.

One such is the biblical invocation that we should treat others as we would be treated.

Those staff members at Gosford Hospital know that lesson well, and one family owes them a debt of gratitude that can never be repaid.

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9 comments

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    • kate says:

      08:07am | 18/09/09

      This story gave me chills, thank you for sharing, and I’m glad you received more than adequate treatment.

    • Daniel says:

      08:49am | 18/09/09

      My hand goes out to those overworked and stressed staff that are at the coal face having to deal with the crap has been inherent in our public hospitals by both the Liberal party and the ALP. We need more Greens elected to sort this out. The major parties are a joke.

    • maddy says:

      08:54am | 18/09/09

      This story again proves that it’s not the staff causing the problems in the health system - it’s the bureaucracy. 

      When nurses ask for a pay rise or better staff to patient ratios, when doctors beg for more staff to assist them…

      What right do we have to rebuke them?

      Sorry for your loss

    • Sarah McKenzie says:

      09:14am | 18/09/09

      Thankyou for writing this article. It truly separates what is right with the hospital system from what is wrong with it. And my condolences to you and your family.

    • Beckala says:

      11:00am | 18/09/09

      Thanks so much for sharing your experiences. If I could, I’d like to share my recent experience with the public hospital system. I had a bleeding ulcer that I hadn’t been aware of for months, which led to clotting in my stomach which eventually led to an artery bleeding out as I was being led into surgery - I nearly lost my life.

      The nursing care and the care I received from my doctors was outstanding. My mother called the night nurses in intensive care her “angels” - no matter what, no matter the question, they were there. They took care of my family as well as me - I was intubated and unconscious - a horrific thing for my mother and husband to witness - but the nursing staff not only took care of my medical needs but ensured my family members had beds to sleep in, tea to drink, someone to talk to, tissues when they got upset - the “family” was the patient, not just me. Their workload was extraordinary, but they went above and beyond that constantly.

      When I was awake again and on the road to recovery the nurses I had were wonderful. I had one young nurse, Mel,  who was working a double shift (7am until 10pm) but still took the time to sit with me for 20 minutes while I cried, comforting me because I was upset when my family had to leave for the evening and I just felt so completely overwhelmed by everything. The wardman whose job it was to turn the patients in the middle of the night would ask every night how I was feeling, check in on me in the morning before he left with a cheeky smile and wave, asked how my husband was by name because he had spoken to him on the nights I was unconscious and he wanted to make sure that he was recovering emotionally while I was recovering physically. My main nurse Karen who would remind me every day how far i’d come with my recovery, who’d sneak me chocolate mousse because I found it difficult to eat solids, who knew every relative who visited me by name and asked about them two weeks later - showing her attention to detail, her compassion and her true caring nature.

      My doctors were incredible - they would visit me at 7am, and I’d see them still there at 10pm that night - not having left, having spent the day in surgery then the night checking up to ensure their patients were all ok. I truly have no idea how they survive doing the hours that they do.

      I can’t imagine that a nurse would become one for the money - god knows they could NEVER get paid enough. It is a higher calling - they do it because they care. I am in awe of the work that they do. The compassion that they show, not just to the patient but to the family too, is beyond words. Those that have not experienced the hospital system themselves, that just hear the negative reports or see nurses campaigning for better conditions and call them selfish, have no idea about the truly compassionate, passionate, caring, empathetic and talented nurses we have in Australia. I hope experiences like mine and the article above give a little insight into how lucky we are that these people choose to work in our hospital system.

      I too am sorry for your family’s loss, Roger.

    • liz says:

      11:35am | 18/09/09

      As a nurse, we appreciate muchly when people say thanks for how much they appreciate the treatment. Most of the time, in the public system we get blamed for the lack of communication between health staff. It makes you realise that you got into nursing coz you want to help people get better, and when patients and their families say thanks, it makes you warm and fuzzy.
      Deepest condolences to your family Roger….a stroke is a horrible thing and in my opinion it certainly is good that she did stay ina coma, coz my friend works in the stroke ward and says that its awful what the patient have to do to TRY and recover….

    • Pinchey says:

      11:46am | 18/09/09

      Again my condolances Roger. An exceptionally well written piece that sums up the feelings of many who encounter the public health system.

      I am Beckala’s (above) husband. From the relative aspect I simply cannot put into words to describe the sheer dedication, compassion and empathy these front line workers have. Never did they ‘just do their job’, as I am guilty of doing from time to time, they always went above and beyond - a term that seems woefully inadequate to describe their level of committment. In terms of professional recognition they are very sadly undervalued, but in terms of the general public they simply inspire. The care they gave to my wife, to me, and to Beckala’s mother was simply more than I could have ever envisiaged should I have remained an armchair commentator.

      They saved my wife’s life, of which nothing I could ever say or do would ever come close to showing that gratitude. However being around the intensive care setting for some time, and witnessing the compassion shown to other families who were facing different outcomes was what really affected me.

      They have inspired me to be a better person within my own life.

      There is a system that seems not to be supporting these wonderful, beautiful people as much as they should be. Nevetheless I simply cannot fault the care that my wife received in the public system, and this was very much due to the front line workers.

      To all those wonderful health care professionals involved not only in the treatment of my wife, or Roger’s mother in law, but who give their all, day after day, to save lives and care for the families of patients regardless of outcome, I sincerely thank and salute you. May you be truly rewarded for what you do - whatever form that comes in.

      And to Judy - a special and sincere thank you from the bottom of our hearts

    • Widow to shift work says:

      07:17pm | 18/09/09

      My condolences, Roger.  I am glad you found reason to appreciate the dedication of our healthcare professionals in such a hard time for your family.

      Unfortunately, you and your family are the minority - by that I mean your attitude towards hospital workers is appreciative.  My family members who work in public health care in NSW and their colleagues bear the brunt of abuse daily, always for things beyond their control, like how long people have to wait or the lack of chairs. 

      I’d like to ask that when everyone thinks to thank their doctors and nurses, also remember to thank everyone else who helped diagnose and treat you - radiographers or sonographers, physios and OTs, pathology and pharmacy, and wardsmen.  Many of those professions work 24 hour rotating rosters (night and weekend shifts) and are on-call.  Shift work ruins your life. Being on call ruins what’s left. You do do it for the love - certainly not the money.

      What is wrong with our society that we pay bankers and entertainers the most and the people who care for us at our most vulnerable earn a pittance and work 24 hours a day?

    • Bob says:

      11:19pm | 18/09/09

      my wife is a nurse. she watched a 7 month old baby die today. she and everyone else around were in tears.  the grief of the parents must be unimaginable. it’s only when you know someone in the system or maybe sometimes you become a client or relative of a patient that you get to know the real story or glimpses of it.

      The real story ( though not directly related in this case to the above anecdote) includes chronic undertaffing , double shifts, no meal breaks (  flat out getting toilet breaks really); casual workers filling large gaps as the few who can hack full time nursing hold the fort; chronic fatigue from shifts and the ridiculous gaps of time between late and early shifts;  micro sleeps on the car on the drive home; a lack of incentive for expert nurses to remain in clinical posts when they could go for management postions that pay a bit more. ........I could go on.

      All this Florence Nightingale type talk that “nursing is a calling” is rubbish.The time bomb is that the average age of nurses in Australia is almost 50 and there are many about to retire. We have a demographic of
      ageing baby boomers - you do the maths.

      Its no good patting people on the back and promoting the nursing profession as a calling when we know that science graduates go where the $ are. 

      Is a back bencher in a state government 3 times more valuable to society than an expert nurse?  ( I could say the same about may others in the multi disciplinary health care teams that plug away)

 

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