Monday, July 16, 2007

A Pound of Her Flesh

Edited with an update at the end.

Her head on a platter.

Hell hath no fury like a mother duped.

I'm afraid that I'm feeling a little less than Christlike tonight. I think this is going to be one of those posts. Maybe I ought to start a new category; I could call it, "on the verge."

Spring is birthday season 'round here. And after the birthdays come the well-child visits to our pediatrician of nearly 7 years. We started seeing him when Dumpling was an infant because she suffered chronic, mild ear infections and he went to our church. On Sundays he brought his black bag, but not his debit machine.

We thought it a blessing, even scriptural to have found a Christian doctor to help us care for the health of our girls. And he had the sweetest nurse! Her name was Lydia; she was gregarious, demonstrative and smart. Most of all, she was careful in what she was doing and attentive to her patient...and their parent. (That will be an important detail later in the story.)

But Lydia got married and had a baby of her own. And then she moved far away to be near her own family.

So Dr. Black Bag hired a new nurse. In fact, it seems that much of his office staff is new and unfamiliar and it's seemed that way for a couple of years. But Dr. Black Bag is a good man. He loves the Lord and supports our choice to homeschool. He even regularly entertains my questions, concerns and sometimes-baseless fears about immunizations.

I've been talking with him for years about mercury preservative and dtp reaction and, oh yes--the chicken pox vaccine. The varicella vaccine is only 12 years in use, and while we've weighed the risks of other vaccinations vs. the dangers of the disease and chose to have the girls immunized, we've never had a peace about this one. There is some concern that it will only postpone the infection to adulthood, which, in turn, will make it more dangerous to the patient. And if so, and the timing were bad, it might even harm a pregnancy in progress.

It just seems a lot is yet unknown. Good, bad, or nuetral, it's a choice we've made. It's always been that way, for all our girls. And our pediatrician respects that.

During today's triple visit, it was decided that Fifi would take her meningitis shot, and Cuddlebug--poor Cuddlebug--would take 4 shots; two in each thigh. But she was brave and took the news with a smile as I promised, "Well, that's some kind of ice cream sundae you'll be due after this!"

When it came time to have the immunizations, she was shy about disrobing and scared about the shots but all the while submitted to my will as I assured her that I was right there with her and she would be o.k. I took her hands and playfully challenged her to squeeze mine as hard as she could. And she did.

I'm so grieved when I think back to that moment and the trust that she invested in me. I stared at those golden brown eyes and let go of one hand so I could stroke her forehead. I was attending to my baby, and was trusting the nurse for what she was doing.

In my peripheral vision, I saw her movements: picking up syringes, detatching the sterile cap, replacing the needle on the windowsill...one and then another.

When she moved to insert another needle into Cuddlebug's left leg, I questioned, "I thought it was supposed to be two in each thigh?"

She answered, "No, three on this side," and forged ahead.

I thought to myself that there must be an order or interaction to the grouping of the shots. And there wasn't time to question it further because she was in a rhythm and what mother in her right mind wants to stall the process and prolong the torture?

Another and another. "All done, sweetie."

But just after I got the words out, I turned my attention to the nurse to find that she was just now getting around to the last injection.

I must have miscounted. After all, I wasn't actually watching the nurse. I was ministering to my darling. I was being her mommy. I was staring into her sweet eyes, doing my best to reassure her as she did her part: trusting her mommy and behaving bravely without a single tear. In fact, she never so much as flinched or jumped or made any sound...which in hind sight probably would have helped me count the injections without babysitting the professional.

And another.

"How many was that?"

"Five."

"Five? There were only supposed to be four! What did you give her?"

*incredulous stare*

What she gave her was the varicella vaccine that we've never, ever consented to. I don't remember the rest of the conversation well enough for quotes, but it involved her defending herself that she just did what was on the chart, and my staring at her in complete disbelief, thinking how ridiculous I would sound if I started yelling, "Take it out..take it out!"

She continued to defend herself and I continued to inform her, "My children have never taken the chicken pox vaccine. Ever. Any of them."

And really, my biggest problem with the chain of events (and I told her so) was that, "When I told you that I thought it was supposed to just be 2 in each thigh, if you had just stopped and listened, we could have communicated about this!"

Now she was mirroring my stare. Neither of us could believe what had happened.

Well, I like to think she couldn't believe it. I'm not sure really because she didn't apologize. She just left the room and sent Dr. Black Bag back in.

As it turns out, the chart was right. She was wrong. My Cuddlebug has an uninvited foreign matter inside her, and I am the one who held her down while this wrong was inflicted upon her. For a minute I even despised my place in Christ, realizing that if my father's daughter (small "f") had been in the examination room instead of my Father's daughter, (capital "F") then this might not have happened because my earthly father raised himself some mean, confrontational, litigious-minded strong daughters.

*exhale*

Now, I don't really want the nurse's head on a platter. Or a pound of her flesh. But an apology...better yet, some kind of acknowledgment from her that she understands the profound impact of her position and a humble assurance that she'll be more careful for the sake of others would help me cope, I think.

Because I'm not handling this very well. My failure and lack of vigilance is weighing me down and my heart is very heavy within me.

Edited with this update:

Today, a new blog-friend, Molly, exercised grace when she emailed me to gently call me to account.

That's my kind of Sister!


Having read my blog for awhile, she thought this post didn't sound like me. I wish I could say that the devil made me do it, but truly, it was just an honest account of my natural reaction being tempered somewhat by the Spirit of God inside me. Because I didn't actually extract a pound of flesh, now did I? Left to myself...


Anyhoo...I spoke at length with Dr. Black Bag yesterday evening. He's kind of a family friend--certainly we enjoy a stronger rapport than just any old pediatrician/patient relationship. He listened well, was responsive to my concerns, apologetic, forthcoming with the assurance that he will be examining some new procedures in the administration of immunizations, and he was pretty transparent about how this might end.

Apparently the assistant's non-communicative ways have been an issue in the past. Only now has it affected her competency.

I told him how afraid I was of his office now, and he very kindly assured me there would be no hard feelings between us if we chose to go to another doctor because of the damage done to our trust. I told him how much I appreciated that, but that we would be praying about that decision, because it's a big one, and we don't want to be hasty.

I'm not interested in rubbing his assistant's nose in this mistake. I'm not excited about making a report or causing harm to her career. But I prayerfully know that God would not have had me sweep this danger under the rug. There are mistakes that we should let love cover, and then there are mistakes from which we should reasonably attempt to protect others.

And I will not be so surprised to find out on the other side of my last breath, that...maybe, just maybe He let this happen to us because her deficits can now be revealed without damage or devastation to this Godly man's medical practice. Others would sue. We would much rather be wronged and trust the Lord for it.

17 comments:

Dana~Are We There Yet? said...

I have so, so much to say about this, but I can't get it to come out straight. So I'll just go with I'm sorry and I understand.

Miriam Pauline said...

(((HUGS))) Praying that there are no adverse effects and for your peace of mind. Even our trying to do our absolute best by our kids is so hard when others are involved. More hugs....

Kelli said...

My dear, dear sister! I am so sorry that this happened. I would feel the exact same way. Cuddlebug deserves a whole week of ice cream...and so does her mom.

Grafted Branch said...

Oh, Clemntine...how I miss you...but I totally respect your choice to abandon the blog. A person's got to do what a person's got to do. I admire your strength.

Anywhoooo...I'd love to hear what you have to say about this. Feel free to email me at graftedb at yahoo dot com

T with Honey said...

Please don't feel so bad about this situation. We all could be more suspicious and vigilant but at some point you have to draw the line and place some trust in others.

The nurse has a job and we have to trust her to do it correctly, to some extent. Otherwise nothing would get done.
Do you read the labels of all the syringes and vials to make sure they are giving your child the correct medication or vaccination? She could easily have given your child only 4 shots but the wrong ones.

I'm not saying the nurse is off the hook. She definitely owes you and your daughter an apology, if nothing else. But let yourself off the hook. You were being as cautious and suspicious as the situation merited.

Hmmm... this just reminded me. At our pediatrician's office we DO have to double-check what is being injected into our child. The vials and syringes are brought into the room and a sticker is taken off of each one. This sticker contains information about what the vaccination is and a lot number. It goes into her chart and a parent has to sign next to the sticker indicating consent to the vaccination.

I'm guessing this is a state requirement, but maybe you can suggest this to your doctor's office. You can't get that vaccine back out of your daughter but you can help the office from doing this to another child.

Melanie @ This Ain't New York said...

My heart just sank for you and for Cuddlebug. I am the kind of mom they hate to see walk in the door. The competent ones love me and the others, well, not so much.

You have much more restraint than me. I am not sure what I would have done.

Words cannot describe how terrible I feel for you both right now.

My guess is that she didn't even check the chart. She could lose her license or get a reprimand from the Board for this. (I am an RN) Not to say that you would pursue it, but you could.

The 5 R's of medication-

Right Patient
Right Medication
Right Dose
Right Time
Right Route/Method (oral,IV, etc)

Grafted Branch said...

Oh yes, I am pursuing it, Melanie. As a Christian, I am not a litigious person, but there will be a report.
I'm trying to find out if she's accredited with the CMA. Because, as it turns out, she was not a nurse, but a Medical Assistant. Had she been referred to by her proper title, my mommy radar would have gone up!

karly said...

Oh, all I can say is I am so sorry this happened! We (as moms) try to be as diligent and aware and proactive and ON TOP OF THINGS when it comes to our children, and then something like this happens. My heart sank when I read this post. I pray the Lord's will prevails and His justice will reign. As well, I pray Cuddlebug will have NO effects of this. OH, and I pray lots of ice cream, like Classic Mama said, for both of you. :)

P.S. Thanks for sharing this. It is a great reminder that we should continue to be diligent as moms in all areas.

Connie said...

Good for you for pursuing it Grafted. You are doing the right thing. I would have been beside myself.

Michelle said...

I am sorry that you are having to struggle with this....I am so laid back over lots of things but not those pertaining to things with my children. (((Hugs)))

Dawn said...

This is one thing I didn't have to deal with. I guess I don't know too much about this issue. I feel bad for all of you, and very frustrated with that "nurse."

Melanie @ This Ain't New York said...

I had to check back to see what you plan to do.

I am SO GLAD you are filing a report. Ask your doctor to also make a note in her employee records at his office. If she leaves, the next (if there is a next) office will know.

I caught a medication error from a pharmacist once. He prescribed twice the prescribed dosage for my daughter. Fortunately, I remembered the doc's instructions. When my husband returned home with the med. I knew it was wrong. I marched up there and showed the error to the pharm. who showed no remorse. His reaction was scarier than the error. I filed a formal complaint with the state pharm. board. They never responded, but at least it was on record.

The devil so so attacking you for that wonderful moment you had with Pauline the other day. I hate when he does that.

Hope Cuddlebug is feeling OK.

Big Mama said...

I read this right after you posted it, but didn't know what to say. I can't quit thinking about it and I just feel so bad for you. It's such an unfortunate situation, but please know that you didn't do anything wrong.

As for the nurse aka Medical assistant, that's part of the problem with medical care these days. Doctors rarely want to pay RN's when they can have an MA on staff at a fraction on the pay.

If you decide you need a new pediatrician, I have a recommendation. :-)

Anonymous said...

OH my! I have no idea what I would have done! None of my kids have had any immunizations and something like this would really have me going! I am so sorry you had to go through this with your precious daughter. I pray God's peace for you both and hopefully stuff like that won't continue in that ped. office. I still can't believe that happened.

Robin said...

Where do I start? As an RN it is a wonderful reminder to slow down and remember to connect with the patient and/or parent.

I don't know what your state laws are but a medical assistant giving a shot would be a HUGE NO NO where I live. As in illegal.

I really liked what the one person said about how her office puts a sticker in the chart and has the parent sign the chart in way of consent. Just think of all the errors that would be avoided if every one did it that way.

Last of all, let yourself off the hook. You WERE being the MOM. A good mom. Just the mom you were supposed to be. It wasn't you that was in error. I understand that doesn't change what happened. At the risk of sounding trite, God is still in control. He knows that shot was going to be given and He knows why your Cuddlebug got it.

I also agree with the statement that was made about Satan trying to undermine your wonderful experience with Pauline.

I'm so sorry this happened. Keep us posted please.

Heather said...

Oh...ugh..my stomach turns just at the thought of the reaction I might have had. My heart hurt for you. I truly have a soft spot for mistakes being made..forgiving etc, but THIS *HAD TO DELETE MY ACCUSATIONS* -and without even an apology, oh my,...for now I will just seeth along with you and pray that all turns out according to God's best plan for your precious darling.

Unknown said...

I so understand your upset and your concern. We make choices for our children and our families based on the info we have trying to be wise and good stewards. However, we musn't loose sight of the fact that our God is still very much in control and loves your sweet little one more than you do. I wanted a completely natural childbirth and ended up with a C-section and a seizure the next day. Poor hubby felt for a while that it was all his fault because he agreed to an induction sooner than we had planned. I had to rest in the fact that God knows He is doing. Should there not be a consequence for negligence? No, but remember not to fret about the what might happen because she got this shot. God knows that you were doing your best to be wise and careful and now you must leave the results to Him.