i recently lost someone i knew, someone i don’t know i can call a friend- but someone who will have a lasting impact on my life. we were close, but it wasn’t a friendship. it was something else and something somewhat forced upon the both of us at the beginning- the beginning being november of 2011.
she was transferred to my floor at work and i was assigned to sit CO with her for an undetermined amount of time. CO meaning constant observation because she was a high risk patient. she was a heroin addict and her family had a history of bringing her drugs while in the hospital, so far as injecting her IV themselves with it. so really, i was sitting CO for her family. she was admitted through the ER for coughing up blood, something that happened in violent fits to her. she had a replaced heart valve that had gotten infected, being that her original one was also infected and beyond repair- hence the replacement. she was positive for hepatitis C, MRSA, VRE, and a rare form of streptococcus that had caused an abcess in her lung which was the source of the coughing fits. all of this was due to dirty needles and prolonged usage of intravenous drugs.
she came to the floor at about 10pm, an hour before my shift ended, and i set her up in a contact room- basically a quarantine room in which i would stay in a gown and gloves at all times. i took her vital signs, wrote up a property record, and saw her age- 25 is what her ID band said, two years older than me at that point. she was sedated at the time and i was afraid of her, and her family which thankfully had left before i saw them that night. i was afraid because i knew the next day i would be in the room with her and she’d be awake and wild, wanting her drugs and cursing me out for not giving them to her or letting her run away. that wasn’t the case at all.
the next day i came in at 3, gowned up, and braced myself for the misery of sitting with a person who had such a rumored and talked about awful history. she was asleep still, but not sedated- just sleeping. i sat down quietly and about an hour later she woke up, looked at me, and said, “finally, they put someone young in here with me.” i smiled, introduced myself and asked how she felt. she said, “i feel okay. i just sleep a lot. how are you? jenna, you said, right?” i told her iwas fine and that if she needed anything i would get someone to give it to me to give to her. she asked how old i was and i told her 23. she said, “you look like you’re 17, you have cute cheeks and big eyes. i love your hair. mine is total shit. It used to be prettier before everything. they won’t let me use my straightener.” i laughed and said that as time goes by she’d probably be allowed to bring in some of her stuff since we all knew she wasn’t leaving any time soon.
why are you putting up with this, just sitting in here all damn day? because i kind of like you and i get to watch shitty tv all day. do you think i'm as awful as all the nurses say i am? absolutely not. why? because i got to know you. you're pretty kind and generous. i hear how you talk to your friends and your family, especially your grandma on the phone. i heard how upset you were when you found out your friend was brought into jail again and you called your dad begging him to post his bail. i mean, it's messed up, but you're doing all that from a hospital so it sort of says something about who you are. how do i end up being okay like you? stop using, go to another state, and focus on you. it's going to suck and hurt and be awful, but you'll get to live. you'll have a life. you can do it, you were supposed to die about 8 times before and you're still alive. you're strong enough to pull this off. she looked at me and cried and i hugged her through my gown and gloves until she stopped.
eventually, the nurses did let her bring in her straightener and hair products and we'd sit on her bed and i'd do her hair, help her change her pajamas. she said she wanted to braid mine but knew she couldn't because of the contact precautions. i casually said that some rules were made to be broken and let her braid my hair. it was a pretty solid braid, she did a lovely job of it.
in between our hour long sessions of gossiping and talking about life in general, her mother and sister would come in to visit. it was pathetic to see them coming in most definitely altered and sitting on her bed without being mindful of all the IV's she had in her arms. they'd talk to her in baby voices and then suddenly start fights with her. they would rile her up, get her angry to the point where security had to be called once to get the mother out of the room. they tormented her. the family is toxic and rotting from the inside out and this girl was caught in the middle of it. every time a social worker stepped in the room to talk about a rehab facility, the mother said "no, my baby is coming right home to me and i can make her all better!" it was almost laughable.
the time came when the infection had been flushed out of her blood and her fake valve and discharge orders were put into play. she started to count down the days. i couldn't' blame her. after being in the same room, hooked up to IV's, in a hospital, i would want to go home too- but i was scared for her. i asked her, "this is it, right? no more? have you been scared shitless yet?" and she said "yeah, don't want to touch any of that stuff ever again. i'm moving in with my grandma." the night she left was december 23rd. she was getting excited for her upcoming birthday, december 29th. i packed her things and checked her property record, took my gown off. her ride was there and a wheelchair had been brought up. i looked at her and told her i grew really fond of her and that i hope she stays well. she said, "i'm going to visit you, not like when i'm sick. i'm just going to show up and say hey. i'm going to miss you, jenna. can i hug you?" we hugged and said goodbye and then i finished the last hour of my shift running around on the floor. i thought about her all night, and days after- but i allowed myself to be hopeful.
it was only after the new year i found out she had been readmitted on the day after christmas. she was on the 3rd floor, critical care. i asked why and as per usual, she had a fit of coughing up blood and had used. i was told it didn't look good and i was advised by someone close to me to not go up and see her- of course, i did. what i saw was worse than i had expected. what once was a coherent peer of mine was now in an induced coma, not breathing for herself, 25 pounds heavier with water weight due to renal and heart failure, and trach collared. the worst part of it was that her eyes had been taped shut. i spoke to a nurse who kindly took the time to explain to me what was going on. her valve was infected again and the abscess in her lung was bleeding almost uncontrollably. her liver was shot and her kidneys were the next to go. she would thrash and buck if she was left awake because of all the machines hooked up to her and the hole in her throat from the collar, which is why she was kept sedated. i felt sick and i left the floor. she had spent her 26th birthday in a coma.
i continued to go to the CCU on my dinner breaks, walk by her room slowly just to make sure she was there and living. she was, but barely. as the weeks went on, the tape on her eyes were taken off, as was the trach collar. she would thrash if she saw someone she recognized so i kept my distance. no one really knew the damage done to her brain at that point. on my drives home from work i would feel guilty for thinking that she was better off dead.
february was the month she started to turn around for the better, despite the doctor's predictions. she started to remember things and regained her prior mental status. her blood counts were slowly, very slowly, going back to her baselines and the infection was nearly cleared. the abscess, however, was still there. she was able to walk again, with a walker and only in her room since she was still contact precautions. during my breaks in that month, i would go in and talk to her, help her walk and keep her company for a little while. we got on the topic of why she was back. she looked defeated and said, "i should be dead. i almost want to be. i'm 26 and i have to use a walker. i fucked up my whole body and a lot of this shit isn't going away for the rest of my life." i said to her, "you're right, on all accounts. but maybe sometime in the future you can ditch the walker there are medications that can help you lead a semi-normal life. why did you do it again? what the hell happened?" she told me her sister brought some oxy's and heroin home, as a favor to her. she said she didn't use it for a day and then couldn't stand it and used it. right after, she was choking on her own blood. she apologized to me. i asked why. she said because she promised she wouldn't fuck up again and she did. i told her it was going to be alright and that i wasn't mad. we continued to talk about trivial things and laugh and when it came time for my break to end, i said goodnight. that was march 9th.
i came back in for work the next day, a saturday and was absolutely swamped and got shafted with a 30 minute break. the floor was so heavy and busy, all of us were going nonstop. i only had time to eat and i figured i'd see her the next day, a sunday, since i work every other weekend.
around 8 o clock on sunday i went upstairs to the CCU and i saw room 3100 but there was a new patient there. i walked around and peeked in each room, and then a nurse came up to me and said, "can i help you with something?" at first i said no and she looked at me strangely and then i said, "well yes, i was looking for a patient. i sat CO with her for 2 months on K2, would visit her here. she was in 3100, did she get moved to a step-down unit?" and the nurse looked at me sadly and said, "she was transferred to st. charles yesterday to their rehab unit in an effort to keep her from her family. about 10 hours into her stay there, she had another one of her episodes and died." all i could say was, "oh." it looked like the nurse was going to say something else, maybe that she was sorry but i just said thank you and practically ran off the floor and cried in a stairwell.
it was over. she was dead. she was actually, really dead and she died in a place where she didn't know anyone. was she scared? did she know what was happening? i was told by someone who worked closely on her case that she definitely went quickly and that the lung abscess had burst opened and she drowned in her blood. over the next few days i was angry about it. i still am, i suppose. i'm angry that her supposed friends will remember her for about a month and then forget and get over it and keep using. i'm angry that a perfectly healthy body was ravaged by such a ridiculous and avoidable sickness. i'm angry that her family was so awful to her and didn't do more to stop the cycle. i'm angry that i didn't get to say goodbye to her the way i wanted to. i'm angry that no one will fucking remember her and she'll just be another number. i'm more angry that i'm the only one who will remember her and i was just the girl that was assigned to sit CO with her.
in the end, i know this was best. she went quick and without her family, which sounds the opposite of positive but it was. i'd like to think that i made a difference to her, like she made to me. she truly would have never had a normal life and would always need some type of intensive medical care. i want to believe that i brought her some sense of closeness to a normal world outside of the sickness that her family and friends fed her. i hope she knew how much i cared for her and how much of myself i invested in her. a lot of people in the field say they have one patient they remember forever, whether the patient ends up living or dying. i think this is my patient. i think it's her.
December 29th, 1986 - March 10th, 2012