you never get to know the answers to so many questions...
One of the reasons I have always been drawn to hard sciences is because I had this illusion that you got to know the why's. And there are some absolutes out there. A low serum potassium will send a patient into a heart dysrhythmia...but give 'em a big old horse pill of K and sure enough they get better! Yay science!
But mostly even doctors and nurses rely on best guesses, trial and error and intuition. Sure we sound confident when we talk about things - because that's our job. We are trained to be the calm in the storm - the buoy in the rough waters. And truth be told, you'll have two patients with identical symptoms, give them the same treatments, and one gets better and goes home to enjoy their family while the other guy crashes and dies.
What's the difference between those two patients? The doctors don't know. Ask too many questions and they'll fall back on statistics or empirical anecdotes but they don't *really* know. So what if the difference is hope? Or love? Or faith? Well the scientific method can't prove it - but we nurses have a hunch that hope matters. And though our job means telling the hard truth - we can also provide hope.
Tonight I came home from a 12-hour shift and was tucking my son into bed. He started crying. He was missing a close family friend who left town suddenly. Here I was listening to my 11-year-old ask some hard questions...none of which I had the answer to. Why did she leave? When would she come back? I could see his little broken heart pouring out in his tears and I wanted to comfort him, to fix it. But I couldn't explain away her absence...losing someone you love hurts like hell...even when you're 11. Or maybe even more so...
So my job was to be that calm in the storm for him. To lay down next to him and just be there while he wrestled with the very grown up reality of losing love. And I was mindful of that wondrous little piece of Pandora's box hiding in the corner after all the ills of the world spilled out...hope. I couldn't give him hope she would return to us - but hope for the future, and faith that more fun and frolic was awaiting him.
I am so grateful to have the chance to be strong for my son...and I desperately hope he is crafting some tools to weather life's storms. On a good day, I think I do a pretty decent job ;)
But then he escapes to dreams and I wish like hell I had someone looking out for me when my tears come.
Too bad you can't order hope on Amazon. Cause I would pay for some next-day shipping!!