There is a lot of talk about why the man diagnosed with Ebola at Texas Health Presbyterian Hospital was sent home from the emergency room not having been tested for Ebola despite telling the triage nurse he had been in Liberia.

Because they let him go, he came in to contact with up to 20 people including a handful of school aged children. According to CNN, “Hospital officials have acknowledged that the patient’s travel history wasn’t “fully communicated” to doctors” (CNN article). CNN also reports that “‘A travel history was taken, but it wasn’t communicated to the people who were making the decision. … It was a mistake. They dropped the ball,” said Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases.”

“They dropped the ball”. I certainly hope Dr. Fauci is not talking about the nurse. Read More

Katie Duke, nurse and star of ABC’s NY MED, was fired recently for posting an image to Instagram with the caption man vs. 6 train. The image, seen above, is of a trauma bay after the man was worked on and saved (image from gothamist.com).

This upsets me for a number of reasons. The first is quite obvious to me: Katie Duke is featured on a reality show that follows nurses and doctors as they work hard to save lives in NYCs emergency rooms. The show gives the viewers a unique insight into the challenges that healthcare providers face daily. Her patients stories are broadcast on television–what makes an Instagram picture so dangerous if the show portrays the stories as well?

Second, Katie’s supervisor allegedly told her that she was not in violation of the hospital’s policies or HIPPA regulations. She was, in fact, being fired for “being insensitive”. Read More

I recently came across an article in the Health & Science section of The Washington Post: Hit by a car, an emergency doctor experiences firsthand the shortcomings in ER care.

I almost didn’t finish reading it because I was rolling my eyes and thinking, “Yep, I have a hundred of these stories.”

I think my new byline should say “Nurse. Blogger. Patient who can’t navigate the system to save her life.”

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In an age where technology dominates our medical world, communication between patient and doctor often leave me wanting. Over the last few years as a patient, I have learned a number of strategies to help bridge the communication gap with doctors.

For Patients:

  • Speak up: Nobody likes confrontation, but it doesn’t have to be an argument if you are calm and respectful with your questions and requests. If he interrupts you, interrupt back. Yes, really. Afterall, it should be a two-way communication. So speak! For example: “Doctor, thank you for your time today. Would you mind sitting down while we speak. It helps me to relax and not feel like I am being rushed out the door.” The doctor should be open to hearing that.

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As one might expect, navigating life with an invisible illness is one challenge followed by another.

Beat one. Greet one. Every. Day.

Nothing prepares you for the constant fatigue, pain and mystery symptoms du jour – or the endless questions regarding medications and treatments (and let’s not even get started on insurance issues – holy mother of all things bass-ackwards!). You would think that it helps being a nurse – that I would understand more, making it easier for doctors to explain health matters to me. To an extent, that may be true. But at the end of the day, I am just as exhausted and frustrated as the next person who’s trying to keep the faith while waiting for a cure.

Despite the fact that answers hang in the balance, there are a few things I have realized along this journey. Walk in my shoes for a minute…

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With hospital systems and insurance companies requiring increased quantity of patient appointments rather than encouraging better quality interactions, no wonder I have encountered many frustrating doctors in the course of my disease. Don’t get me wrong, I have met my fair share of great doctors who provide me with the incredible care I have received over the past 2 and a half years. But most physicians are booked at 15 minute intervals–and it literally takes me 15 minutes to list the diseases I have and the medications I take.

This is a system wide problem, not a physician one (mostly).

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