Sunday, February 19, 2006

universal healthcare, reason #2

Must read Fast Company March 2006 issue.

Fast Talk interview with Malcolm Gladwel;, author of Tipping Point and Blink, wonderfully written and engaging books.

Malcolm connects the demise of Detroit car industry with the astromonical cost of health care insurance for retirees. Frankly, every US business is cutting back health care insurance, pension plans (even the company I work for) mainly because of the cost of their retirees place on the bottom line (overhead) of the company.

Think about it: if every car in the US has an added $1200 on it before it rolls out of the factory...

Yes, I understand this is a chaplaincy blog, but when the majority of the patients admitted in my hospital have NO insurance, for whatever reason, and the majority of them ARE working or retired after working their whole lives, then something is completely wrong.

It's not a communist ideology to take care of people.

I thought it was the gospel of Jesus' ministry (that in our charter of the hospital I serve in)...and that's spiritual.

But what do I know? ...

Friday, February 17, 2006

selling the invisible...

So the hospital system I work for applies a numerical value to Spiritual Care. Imagine Siskel and Ebert giving a thumbs up or down to the Dalai Lama. Makes about that much sense to me.

It is based on Patient Surveys upon discharge.

So for the year 2005 January through December, based on 968 patient surveys based on "THE CHAPLAIN" part of the three question on Spiritual Care I have been providing 4**** care, which is above national averages, and above the System values of me hospital chain.

My Supervisor cares about this and so I am supposed to also. I wish I did, but I don't. Much.

has to be a full moon...

My day starts with a supposed former patient calling to 'inform' me of all the problems she had at the hospital 4 months ago (I can't find her in our database) and that I "The chaplain HAVE to help her get medi-cal." "Ma'am, that something the state of California does, not the hospital." She hangs up. Then leaves me 4 voicemails, one of them 14 minutes long with a 2 minute discussion on whether she thinks the phone is hung up or not. (Yes, you read that right. First sign of a full moon!)

Then at 1130am, a hospital volunteer informs me in the hallway that "the son of patient who died here a couple of weeks ago is here to get his dad's will." Brow arched, "I have his will?? Oh...? What is the son's name?" "I don't know." "Where is he now?" "I don't know." "Thank you..." as I wonder off toward the full moon.

Monday, February 13, 2006

Wonderful article of the work of chaplains

Chaplains helping those who keep our communities safe

Karina Ioffee
Record Staff Writer
Published Monday, Feb 13, 2006

STOCKTON - An officer never forgets.

Not the 4-month-old baby claimed by sudden infant death syndrome nor the nightmarish accident with the young girl pinned inside her car. An officer doesn't often talk about such things, but the individual could still be haunted by it years later.

In the past, police officers and firefighters led a lonely struggle with work-related stress. But today, police chaplaincy programs are creating a formal way for cops, firefighters and others in public safety to receive counseling after witnessing traumatic events.

Stockton Fire Department Battalion Chief Kim Olson sought out his chaplain following the death of Brett Laws, his 29-year-old nephew and a firefighter who was killed in a 1997 fire. That night claimed the life of another young firefighter when the roof of a midtown home collapsed while they were inside. Their deaths stunned the firefighter community, and Olson found himself reaching out to his pastor, Bob Mitchell.

"Firefighting is a close-knit family, and people were looking for answers," Olson said. "Any time a tragedy strikes a family, you question why something like this happened."

Mitchell was asked to officiate at Laws' funeral, and a partnership began between the Fire Department and Lincoln Presbyterian Church.
Today, four chaplains - three Presbyterian and one Catholic - work with firefighters, paramedics and dispatchers who request counseling after handling a particularly emotional call.

"Just the talking itself is therapeutic," Mitchell said. "Studies have shown that if you bottle it up, it can become very stressful."

The stress often takes a deep toll on emergency responders. Police are twice as likely to kill themselves than be killed in the line of duty and have a higher-than-average divorce rate, said Kevin White, a pastor for Crosstown Community Church and one of 12 chaplains for the Stockton Police Department.

"They work all day long with the worst of Stockton; then they come home and their wife asks them how their day was, but they don't want to talk about it," White said. "A couple of years go by, and they might start to feel that their spouse doesn't understand them."

The chaplaincy program is open to all faiths, and pastors from different churches participate, said Pete Smith, a Stockton police spokesman. At the Lodi Police Department, there is a rabbi to offer a Jewish perspective on grief and healing.

Chaplains' work is often more than counseling. They bring coffee to officers guarding a crime scene and cheeseburgers to the SWAT unit on a long call. And they often extend their services to victims' families as they try to make sense of their loss.

White's first call as police chaplain was to the scene of a grisly car accident downtown involving several teenagers in a stolen car.

One 15-year-old was badly injured, and officers knew she would not make it. White met the family at San Joaquin General Hospital and prayed with them over the girl's bed as she lay dying.

But it is calls involving children that leave a lasting impression on officers, especially if they have children of their own, White said.

Lodi police Capt. Gary Benincasa remembers an incident in which a father fell asleep with his young child, rolled over and suffocated the baby. Benincasa, a 23-year-veteran of the department, walked into the hospital to find the mother holding the dead child.

"She told me, 'Please don't take my baby away,' " he recalled. "How do you forget that? I went home and shed a tear or two and hugged my kids. It still bothers me today."

Friday, February 10, 2006

he saw dead people...

It is not an infrequent experience to have a patient tell me "Last night I saw my mother or sister or whoever in my room and they told me I would be ok." Or "chaplain, my dad is here (dad died 20 years ago). I miss him so much."

Many times this is followed with "what does this mean?"

"What does it mean to you?" (good chaplain question)

True to form, the responses to that question vary greatly. Though, overwhlemingly the events are positive. In fact, I can not think of a negative response no matter the patients' religious beliefs or lack of them, education or socio-economic status.

Since I work in a hospital driven by medicine and medical practices I wanted to hear what a doctor would say about these experiences.

"What do you think Doc?"

"Whether here in America or at home in Eygpt or in Africa or wherever when you eliminate all the B...S... that divides us you discover that we all have the same fears, hopes, dreams and expectations. We are not that different. In my home country many people think those experiences mean the person has been a good person and heaven will be there home. I have heard of these 'super-normal" experiences everywhere I have been. What do you think about them?"

"Same as you, I can't explain them either."