I've noticed lately that a lot of things get better when you don't do anything about it. I'm talking about medical things, but also about just life things. What's up with that? In critical care, we fix everything RFN (right frigging now). In hospice, we don't take action about a lot of things. And you know what? Most of them resolve anyway. It makes me wonder how many unnecessary procedures go on all the time.
I've seen the following things just get better with no intervention whatsoever: atrial fibrillation with rapid ventricular response, extreme bradycardia (low 30's), multiple multiple infections of all kinds, wounds that I felt absolutely needed sutures, and a lot of alarming situations where I've thought, "in the ER, I'd have a doctor over here immediately." They just...get better.
Same with life situations. The older I get and the less likely I am to react and start frenetically trying to fix things, the fewer things I have to fix because the problem often disappears or fixes itself.
It's hard to do nothing, though, on both accounts. What nurse wants to just not do anything for a patient? I've now had to stand by a dozen times by someone I'm pretty sure is in some deadly cardiac rhythm and do nothing because we don't code people in hospice. It's a weird feeling. But as I say, now I wonder how many codes would have resolved themselves anyway that I've been in. I mean, maybe the successful codes would have resolved anyway, and the unsuccessful ones would never have had a chance to matter what. I'm growing decidedly anti-code.
Just to be clear: I am NOT anti-treatment. If someone has an infection that is causing pain or distress, by all means I want to treat it, if that's what the patient wants (sometimes they don't!). If some situation in my life is causing ME pain or distress, I want to remove the source of distress sooner rather than later.
But it's food for thought. Is it absolutely necessary to DO something about this situation?