Working Christmas Day
By Victoria Schlintz
It was an
unusually quiet day in the
emergency room on December twenty-fifth. Quiet, that is, except for the nurses who were standing around the nurses' station grumbling about having to work Christmas Day.
I was triage nurse that day and had just been out to the waiting room to clean up. Since there were no patients waiting to be seen at the time, I came back to the nurses' station for a cup of hot cider from the crockpot someone had brought in for Christmas. Just then an admitting clerk came back and told me I had five patients waiting to be evaluated.
I whined, "Five, how did I get five; I was just out there and no one was in the waiting room."
"Well, there are five signed in." So I went straight out and called the first name. Five bodies showed up at my triage desk, a pale petite woman and four small children in somewhat rumpled clothing.
"Are you all sick?" I asked suspiciously.
"Yes," she said weakly, and lowered her head.
"Okay," I replied, unconvinced, "who's first?" One by one they sat down, and I asked the usual
preliminary questions. When it came to descriptions of their presenting problems, things got a little vague. Two of the children had headaches, but the headaches weren't accompanied by the normal body language of
holding the head or
trying to keep it still or squinting or grimacing. Two children had earaches, but only one could tell me which ear was
affected. The mother complained of a cough, but seemed to work to produce it.
Something was wrong with the picture. Our hospital
policy, however, was not to turn away any patient, so we would see them. When I explained to the mother that it might be a little while before a doctor saw her because, even though the waiting room was empty, ambulances had brought in several, more
critical patients, in the back, she responded, "Take your time, it's warm in here." She turned and, with a smile, guided her brood into the waiting room.
On a hunch (call it nursing judgment), I checked the chart after the admitting clerk had finished registering the family. No address - they were
homeless. The waiting room was warm.
I looked out at the family huddled by the Christmas tree. The littlest one was pointing at the television and exclaiming something to her mother. The oldest one was looking at her reflection in an ornament on the Christmas tree.
I went back to the nurses station and mentioned we had a
homeless family in the waiting room - a mother and four children between four and ten years of age. The nurses, grumbling about working Christmas, turned to
compassion for a family just
trying to get warm on Christmas. The team went into action, much as we do when there's a medical
emergency. But this one was a Christmas
emergency.
We were all offered a free meal in the hospital cafeteria on Christmas Day, so we claimed that meal and prepared a
banquet for our Christmas guests.
We needed presents. We put together oranges and apples in a basket one of our vendors had brought the department for Christmas. We made little goodie bags of stickers we borrowed from the X-ray department, candy that one of the doctors had brought the nurses, crayons the hospital had from a recent coloring contest, nurse bear buttons the hospital had given the nurses at annual training day and little fuzzy bears that nurses clipped onto their stethoscopes. We also found a mug, a package of powdered cocoa, and a few other odds and ends. We pulled ribbon and
wrapping paper and bells off the department's decorations that we had all contributed to. As seriously as we met physical needs of the patients that came to us that day, our team worked to meet the needs, and exceed the expectations, of a family who just wanted to be warm on Christmas Day.
We took turns joining the Christmas party in the waiting room. Each nurse took his or her lunch break with the family, choosing to spend their "off duty" time with these people whose laughter and delightful chatter became quite
contagious.
When it was my turn, I sat with them at the little
banquet table we had created in the waiting room. We talked for a while about dreams. The four children were telling me about what they would like to be when they grow up. The six-year-old started the conversation. "I want to be a nurse and help people," she declared.
After the four children had shared their dreams, I looked at the Mom. She smiled and said, "I just want my family to be safe, warm and content - just like they are right now."
The "party" lasted most of the shift, before we were able to locate a shelter that would take the family in on Christmas Day. The mother had asked that their charts be pulled, so these patients were not seen that day in the
emergency department. But they were treated.
As they walked to the door to leave, the four-year-old came running back, gave me a hug and whispered, "Thanks for being our angels today." As she ran back to join her family, they all waved one more time before the door closed. I turned around slowly to get back to work, a little embarrassed for the tears in my eyes. There stood a group of my coworkers, one with a box of tissues, which she passed around to each nurse who worked a Christmas Day she will never forget.
Light in the Window
By Eileen Goltz
It was the first night of Chanukah and the night before Ellie's last final. As a
freshman she was more than ready to go home for the first time since August. She'd packed every thing she needed to take home except the books she was cramming with and her menorah, the 8 branch candelabra that's lit every night of Chanukah. Ellie had been so tempted to pack the menorah earlier that night. However, just as she was getting ready to justify to herself why it was OK to "skip" the first night's
lighting - (A) she'd have to wait for the candles to burn out before she could leave for the library and (B) she had no clue as to where her candles were hiding - her conscience (and common sense) kicked in. The voice coming from that special place in her body where "mother guilt" resides said, "You have the menorah out, so light it already." Never one to
ignore her mother's advice, Ellie dug up the candles, lit them, said the blessings, placed the menorah on her window sill and spent the rest of the evening in her room studying.
Ellie's first winter break was uneventful, and when she returned to her dorm on the day before classes started she was surprised to find a small note taped to her door.
"Thank you," the note said. It was signed "Susan." It was dated the day that Ellie had left after finals. Ellie was
totally perplexed. She didn't know a Susan. Convinced that the letter had been delivered to her by mistake, Ellie put the note on her desk and forgot about it.
About a half an hour before she was getting ready to head out for dinner, there was a knock at Ellie's door. There, standing in the hall was a woman Ellie didn't recognize. "I'm Susan," she said. "I wanted to thank you in person but you'd already left before I finished my finals."
"Are you sure it's me you're looking for?" asked Ellie. Susan asked if she could come in and explain.
It seemed that Susan had been facing the same dilemma that Ellie had been that first night of Chanukah. She really didn't want to light her menorah either. Not because she was packing, or was heading home, couldn't find the candles or because she busy studying but because her older sister Hannah had been killed by a drunk driver ten months earlier, and this was the first year that she'd have to light the menorah candles alone. The sisters had always taken turns
lighting the first candle and this wasn't Susan's year. She just couldn't bring herself to take her sister's place. Susan said that whenever it was Hannah's turn to light the first candle, she'd always tease Susan that the candles she lit would burn longer and brighter than when Susan lit them. One year she even went so far as to get a timer out. It had always annoyed Susan that Hannah would say something so stupid but still, it was part of the family tradition. Susan said that it was just too
painful to even think about Chanukah without Hannah and she had
decided on skipping the entire holiday.
Susan said that she had just finished studying and was closing her drapes when she happened to glance across the
courtyard of the quad and saw the candles shining in Ellie's window. "I saw that menorah in your window and I started to cry. It was if Hannah had taken her turn and put the menorah in your window for me to see." Susan said that when she stopped crying she said the blessings, turned off the lights in her room and watched the candles across the quad until they burned out.
Susan told Ellie that it was as she was lying in bed that night thinking about how close she felt to Hannah when she saw the menorah, that it dawned on her that
Hannah had been right. Hannah's last turn always would have candles that would burn longer and brighter than any of Susan's because for Susan, Hannah's lights would never go out. They would always be there, in her heart for Susan to see when she needed to reconnect with Hannah.
All Susan had to do was close her eyes and remember the candles in the window, the one's that Hannah had lit the last time it was her turn.
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