Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

My patients teach me, guide me, and remind me that I am here

Karley Mariano, CPNP-AC
Conditions
September 19, 2019
Share
Tweet
Share

It’s an odd thing doing what I do sometimes.  Dichotomies of highs and lows, life and death, joy and sorrow.  In the past 15 years that I have been in health care — a nurse’s assistant, to registered nurse, to now pediatric nurse practitioner — I have had the strange experience of all this emotion.  It wasn’t until recently, maybe because I have a family of my own now, that the experiences I have at work followed me home.  That’s not to say I didn’t feel all I did leading up to this moment of realization.  I did.  I remember the first death I saw. And since then, every loss has piled on like layers of clothing that slowly add to the weight until you can no longer place one foot in front of the next without feeling the lead in your shoes.

The pressure of an intensive care unit becomes routine.  But you know a mistake won’t be making the wrong latte, but perhaps the cause of death.  That your words to a family may be the slap that they knew was coming. That one subtle change may have been the only hint at decline.  There is no luxury of making a new latte, only the truth of being knocked down by humility that medicine so often brings.  It can be a lonely place here. No one wants to hear about children suffering and dying.  Why would they?  It’s not supposed to happen.  That’s not the natural order.

I have always believed that, in this role, the honor is mine to walk a family through horrific experiences, the worst days of their lives.  To be the voice that comforts, and the knowledge they seek, the reassurance they need. But how do you wipe the slate, so you are not paralyzed when the next family needs you? How do you get back up, add another layer to your outfit, and keep walking forward?

The truth is, I can’t answer any of this. I just go on. I cry sometimes. Sometimes I have nightmares. I often berate myself and question my decisions. Other times I simply move forward.  But every day, when the double doors click open and the fluorescent lights shine down, the names of my patients follow me.  I catch glimpses of their faces. I remember her blue eyes, or his crazy hair, the toy llama he slept with, or her tiny striped socks. They teach me, guide me, remind me, that I am here. I am in this place because I belong here. Because I am meant to be right where I am right now.

Karley Mariano is a nurse practitioner.

Image credit: Shutterstock.com

Prev

Invest in real estate with money you have already saved for retirement

September 19, 2019 Kevin 0
…
Next

Health care facilities are difficult to navigate for older adults

September 19, 2019 Kevin 0
…

Tagged as: Emergency Medicine, Nursing, Pediatrics

Post navigation

< Previous Post
Invest in real estate with money you have already saved for retirement
Next Post >
Health care facilities are difficult to navigate for older adults

ADVERTISEMENT

Related Posts

  • Are patients using social media to attack physicians?

    David R. Stukus, MD
  • You are abandoning your patients if you are not active on social media

    Pat Rich
  • A love letter to patients

    Marcie Costello
  • Patients are not passengers

    Christopher Noll, RN, MSN
  • Expensive Medicare patients aren’t who you think

    Peter Ubel, MD
  • My healer, please guide me on this journey

    Michele Luckenbaugh

More in Conditions

  • What is a varicocele and how does it affect fertility?

    Martina Ambardjieva, MD, PhD
  • How profit-driven hospitals fail long-term patient care

    John Corsino, DPT
  • How nature is inspiring the future of pain medicine

    Varun Mangal
  • Psychiatrist tests ketogenic diet for mental health benefits

    Zane Kaleem, MD
  • The myth of biohacking your way past death

    Larry Kaskel, MD
  • Why Hollywood’s allergy jokes are dangerous

    Lianne Mandelbaum, PT
  • Most Popular

  • Past Week

    • Why doctors must fight for a just health care system

      Alankrita Olson, MD, MPH & Ashley Duhon, MD & Toby Terwilliger, MD | Policy
    • The human case for preserving the nipple after mastectomy

      Thomas Amburn, MD | Conditions
    • Nuclear verdicts and rising costs: How inflation is reshaping medical malpractice claims

      Robert E. White, Jr. & The Doctors Company | Policy
    • IMGs are the future of U.S. primary care

      Adam Brandon Bondoc, MD | Physician
    • What is a varicocele and how does it affect fertility?

      Martina Ambardjieva, MD, PhD | Conditions
    • Why I left the clinic to lead health care from the inside

      Vandana Maurya, MHA | Conditions
  • Past 6 Months

    • Health equity in Inland Southern California requires urgent action

      Vishruth Nagam | Policy
    • How restrictive opioid policies worsen the crisis

      Kayvan Haddadan, MD | Physician
    • Why primary care needs better dermatology training

      Alex Siauw | Conditions
    • Why pain doctors face unfair scrutiny and harsh penalties in California

      Kayvan Haddadan, MD | Physician
    • How a doctor defied a hurricane to save a life

      Dharam Persaud-Sharma, MD, PhD | Physician
    • What street medicine taught me about healing

      Alina Kang | Education
  • Recent Posts

    • What is a varicocele and how does it affect fertility?

      Martina Ambardjieva, MD, PhD | Conditions
    • How profit-driven hospitals fail long-term patient care

      John Corsino, DPT | Conditions
    • Complicity vs. protest: a doctor’s choice

      Patrick Hudson, MD | Physician
    • How physician burnout and system reform are shaping the future of U.S. health care

      Irim Salik, MD | Policy
    • How nature is inspiring the future of pain medicine

      Varun Mangal | Conditions
    • Why doctors must fight for a just health care system

      Alankrita Olson, MD, MPH & Ashley Duhon, MD & Toby Terwilliger, MD | Policy

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

Leave a Comment

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Why doctors must fight for a just health care system

      Alankrita Olson, MD, MPH & Ashley Duhon, MD & Toby Terwilliger, MD | Policy
    • The human case for preserving the nipple after mastectomy

      Thomas Amburn, MD | Conditions
    • Nuclear verdicts and rising costs: How inflation is reshaping medical malpractice claims

      Robert E. White, Jr. & The Doctors Company | Policy
    • IMGs are the future of U.S. primary care

      Adam Brandon Bondoc, MD | Physician
    • What is a varicocele and how does it affect fertility?

      Martina Ambardjieva, MD, PhD | Conditions
    • Why I left the clinic to lead health care from the inside

      Vandana Maurya, MHA | Conditions
  • Past 6 Months

    • Health equity in Inland Southern California requires urgent action

      Vishruth Nagam | Policy
    • How restrictive opioid policies worsen the crisis

      Kayvan Haddadan, MD | Physician
    • Why primary care needs better dermatology training

      Alex Siauw | Conditions
    • Why pain doctors face unfair scrutiny and harsh penalties in California

      Kayvan Haddadan, MD | Physician
    • How a doctor defied a hurricane to save a life

      Dharam Persaud-Sharma, MD, PhD | Physician
    • What street medicine taught me about healing

      Alina Kang | Education
  • Recent Posts

    • What is a varicocele and how does it affect fertility?

      Martina Ambardjieva, MD, PhD | Conditions
    • How profit-driven hospitals fail long-term patient care

      John Corsino, DPT | Conditions
    • Complicity vs. protest: a doctor’s choice

      Patrick Hudson, MD | Physician
    • How physician burnout and system reform are shaping the future of U.S. health care

      Irim Salik, MD | Policy
    • How nature is inspiring the future of pain medicine

      Varun Mangal | Conditions
    • Why doctors must fight for a just health care system

      Alankrita Olson, MD, MPH & Ashley Duhon, MD & Toby Terwilliger, MD | Policy

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Leave a Comment

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...