Got it, Laurie, thank you.

aw: My, it is a big list.
cepmom, I see you are from MA so I'm not surprised they just barrelled forward and cut to the chase - typical, LOL. What would surprise me was if insurance wouldn't pay for a diagnostic mamm if a lump was found. Normally, if a mamm is clinically indicated there will be no problem with billing. (That would be in MA, anyway

don't know how others operate).
Sometimes I say things here in a more broad sense because I know others will be reading this thread for a long time to come - it was part of the vision I had in helping to create it in the first place. Information and support. I had explained to cedmom in a PM that the comments at the end of my last post were not directed at her or anyone else in particular lest anyone think I was insensitive to her. I certainly understand how difficult all of this is and have to work hard on a daily basis to keep my own mind's worries in check.

I just feel as if sometimes we (in general) lose sight of the fact that all of these frustrations are a necessary evil and wanted to remind people, as well as myself, how fortunate we are today to have what we have in terms of diagnostics and treatments. If anyone took offense, I'm sorry.
I guess I just have a unique perspective being on both sides of the medical fence - my experiences with both influence my take on things. In retrospect I can see that I am upset about a few things that happened at work this week and maybe that's why my mind went there today.
We were working this week to stabilize a critically ill patient at 3am when the wife of another very stable patient complained we were being too loud and keeping her husband from sleeping.

I also was greeted at the beginning of my shift Tuesday with another wife yelling at the nurse's station that "if her husband died of a heart attack she was going to sue the pants off of all of us". The reason she was upset? Because the 92 yo man with dementia next to her husband was confused and yelling and she felt he should not have been admitted to a bed which was not by itself. What she failed to see was that the hospital was at capacity and in fact some patients spent the night in the ER and the PACU because there were no inpatient beds left. And the 92 yo was as cute as a button, not his fault he's confused, and our responsibility to keep him safe. It took every ounce of self-control I had to keep a smile on my face and interact with this family who was threatening to sue me to make everything all right with them and their husband/father. Part of my job as the night charge nurse is to take care of these issues, often on my own. During the day there are plenty of managers and administrators around to help out but at night there are only two administrators and it just so happened they were both tied up in emergencies elsewhere (we are a major trauma center) so it was me by myself dealing with this the best I could. I spent an hour with this family and when I was done they were satisfied, but in the meantime I had not given out any meds to anyone else or done staffing for the unit which was necessary to deliver safe care to all of our 46 patients. I love my job and my patients but it is not hard sometimes to be easily frustrated. There are days I drive home crying because I am so frustrated. Sometimes I am mad at myself because I think later maybe I could have done things differently. Nothing feels better, though, than when someone thanks me for what I did do, or they are clearly happy to see me the next night. Sometimes I even get a hug from a patient or a family member when we really connect. When you are a nurse you have to take your rewards in small bits and pieces (not unlike being a Mom, actually

).
OTOH, I know patients get frustrated, too, and as a patient myself on many occasions I see that side of it, too. We also had a young woman on my unit this week who had new heart failure secondary to chemotherapy (which is a common diagnosis for my unit - but not for the general population - but this woman was my age and also had children the same age as mine which always serves to bring home the fears I try to put away in the back of my mind). I wanted to take her as a patient but instead we had to split up the four admissions we were getting. I tried to get in to say hello to her but never had the time. Maybe it was just as well.
Thanks for listening.
