As patients, we usually remember the names of our doctors, but often we forget the names of our nurses.I remember one. I hadbreast（either of the two round soft parts at the front of a woman's body that produce milk when she has had a baby)cancer a few years ago, and somehow I managed to get through the surgeries and the beginning of the treatment just fine. I could hide what was going on. Everybody didn't really have to know. I could walk my daughter to school, I could go out to dinner with my husband; I could fool people. But then mychemo(chemotherapywas scheduled to begin and that terrified me because I knew that I was going to lose every single hair on my body because of the kind of chemo that I was going to have. I wasn't going to be able to pretend anymore as though everything was normal.
I was scared. I knew what it felt like to have everybody treating me withkid gloves(If you treat someone or something with kid gloves, or if yoou give them the kid glove treatment, you are very careful in the way you deal weith them.), and I just wanted to feel normal. I had a port installed in mychest(the top of the front of the body, between the neck and the stomach). I went to my first day of chemotherapy, and I was an emotionalwreck(a person who is ina bad physical or mental condition.). My nurse, Joanne, walked in the door, and every bone in my body was telling me to get up out of that chair and take for the hills. But Joanne looked at me and talked to me like we were old friends. And then she asked me, "Where'd you get yourhighlights(areas of hair that are lighter than the rest, usually because a chemical substance has been put on them.)done?"
And I was like, are you kidding me? You're going to talk to me about my hair when I'm on theverge(very near to the moment when sb does sth or sth happens.)of losing it? I was kind of angry, and I said, "Really? Hair?" And with ashrug(an act of raiising your shoulders and then dropping them to show that you do not know or care about sth.)of her shoulders she said, "It's gonna grow back." And in that moment she said the one thing I hadoverlooked(to fail to see or notice sth.), and that was that at some point, my life would get back to normal. She really believed that. And so I believed it, too.
Now, worrying about losing your hair when you're fighting cancer may seem silly at first, but it's not just that you're worried about how you're going to look. It's that you're worried that everybody's going to treat you so carefully. Joanne made me feel normal for the first time in six months. We talked about her boyfriends, we talked about looking for apartments in New York City, and we talked about my reaction to the chemotherapy — all kind of mixed in together. And I always wondered, how did she soinstinctively(based on instinct and not involving thought.)know just how to talk to me?
Joanne Staha and my admiration for her marked the beginning of my journey into the world of nurses. A few years later, I was asked to do a project that would celebrate the work that nurses do. I started with Joanne, and I met over 100 nurses across the country. I spent five years interviewing, photographing and filming nurses for a book and a documentary film. With my team, we mapped a trip across America that would take us to places dealing with some of the biggest public health issues facing our nation — aging, war, poverty,prisons(a building where people are kept as a punishment for a crime they have committed, or while they are waiting for trail.). And then we went places where we would find the largestconcentration(a lot of sth in one place)of patients dealing with those issues. Then we asked hospitals andfacilities(a place, usually including building, used for a particular purpose or activity.)tonominate(to formally suggest that sb should be chosen for an important role,prize,position,etc.)nurses who would best represent them.
One of the first nurses I met was Bridget Kumbella. Bridget was born in Cameroon, the oldest of four children. Her father was at work when he had fallen from the fourth floor and really hurt his back. And he talked a lot about what it was like to be flat on your back and not get the kind of care that you need. And that propelled Bridget to go into the profession of nursing. Now, as a nurse in the Bronx, she has a reallydiverse(of many different kinds.)group of patients that she cares for, from all walks of life, and from all different religions. And she's devoted her career to understanding the impact of our cultural differences when it comes to our health. She spoke of a patient — a Native American patient that she had — that wanted to bring a bunch of feathers into the ICU. That's how he found spiritual comfort. And she spoke of advocating for him and said that patients come from all different religions and use all different kinds of objects for comfort;whether it's aholy(connected with God or a particular religion) rosary(a string of beads that are used by some Roman Catholics for counting prayers as they say them.)or a symbolic feather, it all needs to be supported.
This is Jason Short. Jason is a home health nurse in the Appalachian mountains, and his dad had a gas station and a repair shop when he was growing up. So he worked on cars in thecommunity(all the people who live in a particular area, countey,etc. when talked about as a group.)that he now serves as a nurse. When he was in college, it was just notmacho(malein an aggressive way.)at all to become a nurse, so he avoided it for years. He drove trucks for a little while, but his life path was always pulling him back to nursing. As a nurse in the Appalachian mountains, Jason goes places that an ambulance can't even get to. In this photograph, he's standing in what used to be a road. Top of the mountainmining(the process of getting coal and other minerals from under the ground; the industry involved in this.)flooded(covered or filled with water as a result of a flood.)that road, and now the only way for Jason to get to the patient living in that house withblack lung(a lung disease caused by breathing in coal dust over a long period of time.)disease is to drive his SUV against the current up thatcreek(a narrow area of water where the sea flows into the land.). The day I was with him, we ripped the frontfender(a part of a car that is above a wheel.)off the car. The next morning he got up, put the car on the lift, fixed the fender, and then headed out to meet his next patient. I witnessed Jason caring for this gentleman with such enormous compassion, and I was struck again by howintimate(having a close and friendly relationship.)the work of nursing really is.
When I met Brian McMillion, he wasraw(new to a job or an activity and therefore without experience or skill.). He had just come back from adeployment(=position,arrangement,organization,spread,stationing,use,utilization.)and he hadn't really settled back in to life in San Diego yet. He talked about his experience of being a nurse in Germany and taking care of the soldiers coming right off the battle field. Very often, he would be the first person they would see when they opened their eyes in the hospital. And they would look at him as they were lying there, missinglimbs(an arm of a leg.), and the first thing they would say is, "When can I go back? I left my brothers out there." And Brian would have to say, "You're not going anywhere. You've already given enough, brother."Brian is both a nurse and a soldier who's seen combat. So that puts him in a unique position to be able to relate to and helpheal(to become healthy again; to make sth healthy again.)theveterans(a person who has been a soldier,sailor, etc. in a war.)in his care.
This is Sister Stephen, and she runs a nursing home in Wisconsin called Villa Loretto. And the entire circle of life can be found under her roof. She grew up wishing they lived on a farm, so given the opportunity to adopt local farm animals, she enthusiastically brings them in. And in the springtime, those animals have babies. And Sister Stephen uses those baby ducks, goats andlambs(a young sheep.)as animal therapy for theresidents(a person who lives in a particular place or who has their home there.)at Villa Loretto who sometimes can't remember their own name, but they dorejoice(to express great happiness about sth.)in the holding of a baby lamb. The day I was with Sister Stephen, I needed to take her away from Villa Loretto to film part of her story. And before we left, she went into the room of a dying patient. And sheleaned(to bend or move from a straight positon.)over and she said, "I have to go away for the day, but if Jesus calls you, you go. You go straight home to Jesus." I was standing there and thinking it was the first time in my life I witnessed that you could show someone you love them completely by letting go. We don't have to hold on so tightly. I saw more life rolled up(If people roll up somewhere, they arrive there,especially in large numbers, to see something interesting.)at Villa Loretto than I have ever seen at any other time at any other place in my life.
We live in a complicated time when it comes to our health care. It's easy to lose sight of the need for quality of life, not just quantity of life. As new life-saving technologies are created, we're going to have really complicated decisions to make. These technologies often save lives, but they can also prolong pain and the dying process. How in the world are we supposed to navigate these waters? We're going to need all the help we can get. Nurses have a really unique relationship with us because of the time spent at bedside. During that time, a kind of emotional intimacy develops.
9:05
This past summer, on August 9, my father died of a heart attack. My mother was devastated, and she couldn't imagine her world without him in it. Four days later she fell, she broke her hip, she needed surgery and she found herself fighting for her own life. Once again I found myself on the receiving end of the care of nurses — this time for my mom. My brother and my sister and I stayed by her side for the next three days in the ICU. And as we tried to make the right decisions and follow my mother's wishes, we found that we were depending upon the guidance of nurses. And once again, they didn't let us down.They had an amazing insight in terms of how to care for my mom in the last four days of her life. They brought her comfort and relief from pain. They knew to encourage my sister and I to put a pretty nightgown on my mom, long after it mattered to her, but it sure meant a lot to us. And they knew to come and wake me up just in time for my mom's last breath. And then they knew how long to leave me in the room with my mother after she died.
10:29
I have no idea how they know these things, but I do know that I am eternally grateful that they've guided me once again.
10:39
Thank you so very much.
10:41
(Applause)
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