It is nurse appreciation week. And in this spirit of celebrating this new and young profession I have chosen, I would like to share a story that maybe rearranged some inner geography for me.
I grew up in the United States, a white girl in the middle of New England. Every step I have made in my life has been away from this very privileged and specific shelter. Yes, I had my struggles. Yes, I had my pain and difficulties. Yes, they were more than many of the people I grew up with. But they were nothing, absolutely nothing, compared to most of the world. My naive and innocent motivation was to know the world. And that is what I have done. It has humbled me and made me a more aware and decent person. I have chosen to live in a multi-cultural and multi-lingual world. And since I am white, this was actually a choice. One of the many privileges of choice you get being born in this country with a certain genetic, and therefore entitled, make-up. Many things have changed the way that I see the world. This nurse appreciation week, I would like to share one experience that has shifted things for me.
Since I speak Spanish well, my shifts are often filled with the gift of a new patient and a new family that needs the comfort and necessary support of their language. I was surprised one night when I was passed a patient who spoke Spanish as a second language. This is rare. I was told that he and his family were indigenous people from Central America and primarily spoke their native language. I began our three nights together laughing, talking, and getting to know him and his family. I knew I was in for it when his family told me, “You speak better Spanish than we do!” As I moved about his room and did the tasks of hospital care, I got to hear his language and see his way of being in the world. He was a beautiful man. Young. Dying. And scared. I hung his first round of chemotherapy and as is my custom, I said, “Congratulations! Here you go”. And as I primed the pumps and input data for the infusion, he raised his hands to the sky and started saying prayers. To who and how and what was asked for, I can’t know. But it wasn’t Christian. It was another experience of God entirely.
As we moved through the next few nights together I had a chance to get to know him. To know his beautiful smile and his easy laugh. To know how four in the morning was the time for waking up and for bathing. I made him a picture chart for the things he would need and he and his family laughed and laughed at my stick drawings for things like diarrhea and pain. He was never alone. He was always accompanied by a brother or cousin who cared for him and talked with him. One brother was shy and sweet. One morning he asked me, “Rebeca, te gusta los camotes”. Did I like sweet potatoes? Of course, I told him.
A week or so went by and when I next saw this man he was back from the ICU after a case of sepsis. I talked to him and asked him how he was. We talked about his experience of being so sick. I asked if he knew why he went to the ICU. I told him that he had a big infection in his blood. I turned back to the table to work on getting his medications ready. I heard him say to me, “But Rebeca, what is blood? Que es la sangre?” Time stopped with this question. I had a moment. With all sincerity, I had a moment. I looked up and heard his question and it occurred to me that I knew nothing about this man. I knew nothing, absolutely nothing, about his world view. This was clearly not a dumb man. This was not a man without depth or thought. But this was a man who had a totally, completely, entirely different understanding of what was happening to him than I did. He undoubtedly had a story about his illness. He had a narrative and an understanding of his situation that I had no access to. His entire family was at his side supporting him, bathing him, moving and turning him. And they did this with a shared understanding and story about his illness. And it occurred to me, as I heard his question, how far our experiences were from each other.
And isn’t this the case? How close we are and how far away. I could bathe and care for this man, but have no idea what he believed or thought about his disease. And how this is true for all levels of our life. We look at our parents and have no idea who they are. We look at our spouses sometimes and do not know what they want. We will look at our children and wonder who the hell they are anyway. This distance in the midst of so much intimacy is amazing. It is terrifying. But it is how life goes.
I turned around and said “This question makes me happy. I love to talk about these things”. And I explained to him and his brother what blood was. He knew we took it from him everyday from his central line, but he didn’t know what, exactly, it did in the body. I had looked up his community and tribe, so I knew the very basics of their traditions and geography. I explained that blood was like the giant rivers that flowed through the mountains he came from. It was something that flowed through the entire body and could carry things. Just like rivers could carry food and people and animals. We talked about how this river flowed because of a pump, his heart, that moved his blood with every beat. He and his brother looked at each other and said “Just like a car motor”. And I can only assume that this made sense to them because I know nothing about motors. We talked about how since this river of blood touched everything in his body, an infection in this blood was very serious. He nodded and shared about his experience of being so sick.
At the end of our shifts together he asked for my phone number. He said his brother was bringing me some sweet potatoes and he needed to make sure that I got them. I am very free with my phone number. I passed it to his brother and left for the day. The following Friday, I was taking a much needed break from school and work. I walked out of my Kabuki-spa induced bliss and saw 15 missed calls from this family. I was in no mood to go to the hospital to pick up some potatoes, but I called back anyway. The brother screamed into the phone “WHERE ARE YOU?” “YOU NEED TO COME HERE FOR THE POTATOES.” I made my excuses and apologies and made plans to go to the hospital the next day to pick up the gift. With hindsight, I regret this decision. The entire family was there that night and I am sure they wanted to give me this gift together. I wish I had gotten over myself and gotten to the room that night.
The next afternoon I walked into the room and said hello and caught up with the patient and his shy brother. His brother, all smiles and smiles and smiles, said “We have the potatoes for you. You need to take them all because we don’t want to get in trouble for having them here in the hospital.” I was sure it would be a few potatoes in a bag. And I was so happy for this kindness. I didn’t expect what the brother pulled out of the closet. It was a box. 40 lbs of hand-picked Japanese sweet potatoes. Enough food for my husband and I to eat everyday for two months. I couldn’t believe my eyes. The patient and brother told me how these were the very best of the potatoes that they picked. They could be eaten without butter or sugar or salt. They picked these potatoes and packed them in the fields they worked in central California.
I don’t even know how to say what this meant. I don’t know how to write about this. This family worked together at the farm whose name was stamped on this box of potatoes. And they had decided to give me these potatoes to say thank you for our time together. That day, I said thank you as much as I could. I expressed how much this gift meant to me as best as I could. I laughed and chatted and hung out for a while. Then finally it was time for me to go. The brother and I packed up the potatoes in stolen pillow cases and walked down to the street together. We said goodbye and I started the walk home.
My walk home consists of 10 minutes down a hill and then up a hill. But adding 40 lbs of potatoes slowed me down quite a bit. As I struggled down the street and stopped and rested, the rain started. Big, sloppy, wet rain. The fog rolled over the hills and the trees swayed with the wind. The rain fell on the street and the bags of potatoes. And the smell of the earth wafted out of those bags. The deep, rich smell of the earth. And I stopped and smelled the ground. The ground this family worked and tended. The ground my family came from just a few short generations ago. The land my husband’s family stewarded. The land that I so often take for granted.
Of course, the tears came up in my eyes. I stopped for the millionth time on the streets of San Francisco and raised my face to the sky. I felt the enormity of this gift and what it meant. This humble family had decided to give me food. The gift of nutrition, of sustenance. There aren’t many words for this. But I know in that moment I felt the slow spin of the earth, how the clouds shift, and my place here very clearly.
About an hour or so after I got home and shared my bounty with my husband, the brother called me, screaming into the phone as was his custom, to see if I made it home before the rain. I said that I had made it home safe and sound. I said thank you again. And this was my last time talking with them. By the time I got back to work, they had left for their local hospital. By now, maybe the patient has passed already. Or maybe not. But I still have potatoes in my kitchen. I am still cooking those camotes. And just as they said, these potatoes are the best I have ever eaten.
Being a nurse means many things. Our image in the media and among many nurses reinforce how we are selfless and give so much. I read during this “nurses’ week” about how we never eat, how we never use the bathroom and how we are all drinkers and addicts. The image of the nurse martyr is well-known. But that has not been my experience. My work means that I meet and interact with all sorts of people. And it means that I get the joy and honor, and yes sometimes annoyance, of entering someone’s world. I do not care for people at the expense of my own self-care. That is a joyless and losing game. I am a nurse because it means that I get to know other human beings. This week I was treated to hearing stories from around the world. Stories of torture, psychosis, gang life, happy marriages, children and grandchildren, death and dogs. And that is my job. Not a selfless sacrifice. Not a god-complex. Not a pain in the ass. A job. A great job. A job that gives me laughs, tears and camotes in the kitchen.
Like this:
Be the first to like this post.