A tribute to nurses Carolyn Jones

As patients,

we usually remember
the names of our doctors,

but often we forget
the names of our nurses.

I remember one.

I had breast cancer a few years ago,

and somehow I managed
to get through the surgeries

and the beginning
of the treatment just fine.

I could hide what was going on.

Everybody didn’t really have to know.

I could walk my daughter to school,

I could go out to dinner with my husband;

I could fool people.

But then my chemo was scheduled to begin

and that terrified me

because I knew that I was going to lose
every single hair on my body

because of the kind of chemo
that I was going to have.

I wasn’t going to be able
to pretend anymore

as though everything was normal.

I was scared.

I knew what it felt like to have
everybody treating me with kid gloves,

and I just wanted to feel normal.

I had a port installed in my chest.

I went to my first day of chemotherapy,

and I was an emotional wreck.

My nurse, Joanne, walked in the door,

and every bone in my body was telling
me to get up out of that chair

and take for the hills.

But Joanne looked at me and talked
to me like we were old friends.

And then she asked me,

“Where’d you get your highlights done?”

(Laughter)

And I was like, are you kidding me?

You’re going to talk to me about my hair
when I’m on the verge of losing it?

I was kind of angry,

and I said, “Really? Hair?”

And with a shrug
of her shoulders she said,

“It’s gonna grow back.”

And in that moment she said
the one thing I had overlooked,

and that was that at some point,
my life would get back to normal.

She really believed that.

And so I believed it, too.

Now, worrying about losing your hair
when you’re fighting cancer

may seem silly at first,

but it’s not just that you’re worried
about how you’re going to look.

It’s that you’re worried that everybody’s
going to treat you so carefully.

Joanne made me feel normal
for the first time in six months.

We talked about her boyfriends,

we talked about looking
for apartments in New York City,

and we talked about my reaction
to the chemotherapy –

all kind of mixed in together.

And I always wondered,

how did she so instinctively
know just how to talk to me?

Joanne Staha and my admiration for her

marked the beginning of my journey
into the world of nurses.

A few years later,
I was asked to do a project

that would celebrate
the work that nurses do.

I started with Joanne,

and I met over 100 nurses
across the country.

I spent five years interviewing,
photographing and filming nurses

for a book and a documentary film.

With my team,

we mapped a trip across America
that would take us to places

dealing with some of the biggest
public health issues facing our nation –

aging, war, poverty, prisons.

And then we went places

where we would find
the largest concentration of patients

dealing with those issues.

Then we asked hospitals and facilities
to nominate nurses

who would best represent them.

One of the first nurses I met
was Bridget Kumbella.

Bridget was born in Cameroon,

the oldest of four children.

Her father was at work
when he had fallen from the fourth floor

and really hurt his back.

And he talked a lot about what it was like
to be flat on your back

and not get the kind
of care that you need.

And that propelled Bridget
to go into the profession of nursing.

Now, as a nurse in the Bronx,

she has a really diverse group
of patients that she cares for,

from all walks of life,

and from all different religions.

And she’s devoted her career
to understanding the impact

of our cultural differences
when it comes to our health.

She spoke of a patient –

a Native American patient that she had –

that wanted to bring
a bunch of feathers into the ICU.

That’s how he found spiritual comfort.

And she spoke of advocating for him

and said that patients come
from all different religions

and use all different kinds
of objects for comfort;

whether it’s a holy rosary
or a symbolic feather,

it all needs to be supported.

This is Jason Short.

Jason is a home health nurse
in the Appalachian mountains,

and his dad had a gas station
and a repair shop when he was growing up.

So he worked on cars in the community
that he now serves as a nurse.

When he was in college,

it was just not macho at all
to become a nurse,

so he avoided it for years.

He drove trucks for a little while,

but his life path was always
pulling him back to nursing.

As a nurse in the Appalachian mountains,

Jason goes places
that an ambulance can’t even get to.

In this photograph,
he’s standing in what used to be a road.

Top of the mountain mining
flooded that road,

and now the only way
for Jason to get to the patient

living in that house
with black lung disease

is to drive his SUV
against the current up that creek.

The day I was with him,
we ripped the front fender off the car.

The next morning he got up,
put the car on the lift,

fixed the fender,

and then headed out
to meet his next patient.

I witnessed Jason
caring for this gentleman

with such enormous compassion,

and I was struck again by how intimate
the work of nursing really is.

When I met Brian McMillion, he was raw.

He had just come back from a deployment

and he hadn’t really settled back in
to life in San Diego yet.

He talked about his experience
of being a nurse in Germany

and taking care of the soldiers
coming right off the battlefield.

Very often, he would be
the first person they would see

when they opened
their eyes in the hospital.

And they would look at him
as they were lying there,

missing limbs,

and the first thing they would say is,

“When can I go back?
I left my brothers out there.”

And Brian would have to say,

“You’re not going anywhere.

You’ve already given enough, brother.”

Brian is both a nurse and a soldier
who’s seen combat.

So that puts him in a unique position

to be able to relate to and help heal
the veterans in his care.

This is Sister Stephen,

and she runs a nursing home
in Wisconsin called Villa Loretto.

And the entire circle of life
can be found under her roof.

She grew up wishing they lived on a farm,

so given the opportunity
to adopt local farm animals,

she enthusiastically brings them in.

And in the springtime,
those animals have babies.

And Sister Stephen uses
those baby ducks, goats and lambs

as animal therapy
for the residents at Villa Loretto

who sometimes can’t
remember their own name,

but they do rejoice
in the holding of a baby lamb.

The day I was with Sister Stephen,

I needed to take her away
from Villa Loretto

to film part of her story.

And before we left,

she went into the room of a dying patient.

And she leaned over and she said,

“I have to go away for the day,

but if Jesus calls you,

you go.

You go straight home to Jesus.”

I was standing there and thinking

it was the first time in my life

I witnessed that you could show
someone you love them completely

by letting go.

We don’t have to hold on so tightly.

I saw more life rolled up at Villa Loretto

than I have ever seen at any other time
at any other place in my life.

We live in a complicated time
when it comes to our health care.

It’s easy to lose sight
of the need for quality of life,

not just quantity of life.

As new life-saving
technologies are created,

we’re going to have really
complicated decisions to make.

These technologies often save lives,

but they can also prolong pain
and the dying process.

How in the world are we supposed
to navigate these waters?

We’re going to need
all the help we can get.

Nurses have a really unique
relationship with us

because of the time spent at bedside.

During that time,

a kind of emotional intimacy develops.

This past summer, on August 9,

my father died of a heart attack.

My mother was devastated,

and she couldn’t imagine
her world without him in it.

Four days later she fell,

she broke her hip,

she needed surgery

and she found herself
fighting for her own life.

Once again I found myself

on the receiving end
of the care of nurses –

this time for my mom.

My brother and my sister and I
stayed by her side

for the next three days in the ICU.

And as we tried
to make the right decisions

and follow my mother’s wishes,

we found that we were depending
upon the guidance of nurses.

And once again,

they didn’t let us down.

They had an amazing insight
in terms of how to care for my mom

in the last four days of her life.

They brought her comfort
and relief from pain.

They knew to encourage my sister and I
to put a pretty nightgown on my mom,

long after it mattered to her,

but it sure meant a lot to us.

And they knew to come and wake me up
just in time for my mom’s last breath.

And then they knew
how long to leave me in the room

with my mother after she died.

I have no idea how they know these things,

but I do know that I am eternally grateful

that they’ve guided me once again.

Thank you so very much.

(Applause)

作为患者,

我们通常会记住
我们医生的名字,

但我们经常会忘记
我们护士的名字。

我记得一个。

几年前我患了乳腺癌

,不知怎的,我成功
地通过了手术


治疗的开始。

我可以隐藏正在发生的事情。

每个人都不必知道。

我可以送女儿上学

,我可以和丈夫出去吃饭;

我可以愚弄人。

但随后我的化疗计划开始

,这让我感到害怕,

因为我知道我会因为我将要接受

的那种化疗
而失去我身上的每一根头发。

我不能再假装

一切都正常了。

我被吓到了。

我知道
每个人都带着孩子手套对待我是什么感觉

,我只是想感觉正常。

我的胸口安装了一个端口。

我去化疗的第一天

,我情绪崩溃了。

我的护士乔安妮走进了门,

我全身的每一根骨头都在告诉
我要从那张椅子上站

起来去山上。

但乔安妮看着我,
像老朋友一样跟我说话。

然后她问我,

“你在哪里完成了你的亮点?”

(笑声)

我当时想,你在开玩笑吗? 当我快要

掉头发的时候,你会和我谈谈我的头发
吗?

我有点生气

,我说,“真的吗?头发?”

她耸了耸肩说:

“它会长回来的。”

在那一刻,她说
了我忽略的一件事

,那就是在某个时候,
我的生活会恢复正常。

她真的相信。

所以我也相信了。

现在,
在与癌症作斗争时担心脱发一开始

可能看起来很愚蠢,

但这不仅仅是因为
你担心自己的外表。

是你担心每个人
都会对你这么小心。

乔安妮
六个月来第一次让我感觉正常。

我们谈到了她的男朋友,

我们谈到了
在纽约市寻找公寓

,我们谈到了我
对化疗的反应——

所有这些都混在一起了。

我一直想知道,

她怎么会如此本能地
知道如何与我交谈?

Joanne Staha 和我对她的钦佩

标志着我
进入护士世界的旅程的开始。

几年后,
我被要求做一个项目

来庆祝
护士所做的工作。

我从乔安妮开始

,我在全国遇到了 100 多名护士
。 为了一本书和一部纪录片

,我花了五年时间采访、
拍摄和拍摄护士

与我的团队一起,

我们绘制了一次穿越美国的旅行
,将我们带到

处理
我们国家面临的一些最大公共卫生问题的地方——

老龄化、战争、贫困、监狱。

然后我们去

了处理这些问题的患者最多的地方

然后我们要求医院和
设施提名

最能代表他们的护士。

我遇到的第一批护士之一
是布里奇特·昆贝拉。

布里奇特出生在喀麦隆,

是四个孩子中的老大。

她的父亲在工作
时从四楼掉下来,

伤到了背部。

他还谈了很多关于
平躺在你的背上

而不得到
你需要的那种照顾的感觉。

这促使
布里奇特进入护理行业。

现在,作为布朗克斯区的一名护士,

她照顾的患者群体非常多样化

来自各行各业,

来自不同的宗教。

她的职业生涯
致力于了解

我们的文化
差异对我们健康的影响。

她谈到了一个病人——

她有一个美洲原住民病人

——想把
一堆羽毛带进重症监护室。

就这样,他找到了精神上的安慰。

她谈到为他辩护,

并说患者
来自不同的宗教

,使用各种不同
的物品来获得安慰;

无论是神圣的念珠,
还是象征性的羽毛

,都需要支持。

这是杰森·肖特。

Jason 是阿巴拉契亚山脉的一名家庭保健护士

,他的父亲
在他成长的过程中拥有一个加油站和一家维修店。

因此,他在社区从事汽车工作
,现在他担任护士。

上大学的时候,当护士

一点都不大男子主义

所以他多年来一直避而不谈。

他开了一段时间的卡车,

但他的人生道路总是
把他拉回护理岗位。

作为阿巴拉契亚山脉的一名护士,

杰森前往
救护车甚至无法到达的地方。

在这张照片中,
他站在曾经的道路上。

山顶的采矿
淹没了

那条路,现在
,杰森要想找到

住在那所
患有黑肺病的病人,唯一的办法

就是逆流开着他的 SUV 驶上
那条小溪。

我和他在一起的那天,
我们把前挡泥板从车上扯下来了。

第二天早上,他起床,
把车放在电梯上,

修好挡泥板,

然后出门
迎接他的下一个病人。

我亲眼目睹了杰森

以如此巨大的同情心照顾这位绅士

,我再次被护理工作的亲密程度所震撼

当我遇到 Brian McMillion 时,他很生疏。

他刚从部署中回来,

还没有真正
适应圣地亚哥的生活。

他谈到了自己
在德国当护士

和照顾
刚从战场上来的士兵的经历。

很多时候,他是

他们在医院里睁开眼睛看到的第一个人。

当他们躺在那里时,他们会看着他,

失去了四肢

,他们会说的第一句话是,

“我什么时候可以回去?
我把我的兄弟们留在外面了。”

布赖恩不得不说,

“你哪儿也不去。

你已经付出了,兄弟。”

布赖恩既是一名护士,也是
一名看过战斗的士兵。

因此,这使他处于一个独特的位置

,能够与
他照顾的退伍军人建立联系并帮助治愈他们。

这是斯蒂芬修女

,她
在威斯康星州经营一家名为洛雷托别墅的疗养院。

而整个生活圈子
都可以在她的屋檐下找到。

她从小就希望他们住在农场里,

所以有
机会收养当地的农场动物,

她热情地把它们带进来

。在春天,
这些动物有了孩子。

斯蒂芬修女用
这些小鸭子、山羊和

小羊来治疗
洛雷托别墅的居民,

他们有时不
记得自己的名字,

但他们很
高兴能抱着一只小羊羔。

我和斯蒂芬修女在一起的那天,

我需要带她
离开洛雷托别墅

去拍摄她的部分故事。

在我们离开之前,

她走进了一个垂死病人的房间。

她俯身说:

“我今天必须离开,

但如果耶稣呼召你,

你就离开。

你直接回家去找耶稣。”

我站在那里,心想

这是我有生以来第一次

目睹你可以通过放手向
某人表明你完全爱他们

我们不必紧紧抓住。

我在洛雷托别墅看到的生活

比我生命中任何其他时间
在任何其他地方看到的都要多。

在医疗保健方面,我们生活在一个复杂的时代

人们很容易忽视
对生活质量的需求,

而不仅仅是生活数量。

随着新的拯救生命的
技术被创造出来,

我们将做出非常
复杂的决定。

这些技术通常可以挽救生命,

但它们也可以延长疼痛
和死亡过程。

我们到底应该如何在
这些水域航行?

我们将需要
我们能得到的所有帮助。

由于在床边度过的时间,护士与我们有着非常独特的关系。

在那段时间里,

一种情感上的亲密感发展起来。

去年夏天,8 月 9 日,

我父亲死于心脏病。

我的母亲被摧毁了

,她无法想象
没有他的世界。

四天后,她摔倒了,

她的臀部骨折了,

她需要接受手术

,她发现自己
正在为自己的生命而战。

我再次发现自己

在接受
护士的照顾——

这次是为了我妈妈。 接下来的三天

,我和我的兄弟姐妹

在重症监护病房里一直陪在她身边。

当我们
试图做出正确的决定

并遵循我母亲的意愿时,

我们发现我们
依赖于护士的指导。

再一次,

他们没有让我们失望。

在我

妈妈生命的最后四天里,他们对如何照顾她有着惊人的洞察力。

他们给她带来了安慰
和减轻痛苦。

他们知道要鼓励我姐姐和我
给我妈妈穿一件漂亮的睡衣,

这对她来说很重要,

但这对我们来说确实意义重大。

他们知道
在我妈妈最后一口气之前及时来叫醒我。

然后他们知道
在我母亲去世后,我要在房间里呆多久

我不知道他们是怎么知道这些事情的,

但我知道我永远

感激他们再次引导我。

非常感谢你。

(掌声)