made to be broken
Jun. 17th, 2009 11:05 am![[personal profile]](https://www.dreamwidth.org/img/silk/identity/user.png)
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Here's how it came up, and I think this is important: yesterday I encountered someone who was not sure she was "family enough" to count in the "family only for ICU visits" rule for someone close to her. She definitely is, but I was boggled that this even came up, and frankly it was pretty upsetting. Important life lesson, people: you do not have to follow rules simply because someone else has gone to the trouble of making them.
If someone you love is in an ICU where they have a "family only" rule, and you know they want to see you, and you can be quiet and respectful of the other patients, congratulations! You are now their Cousin Cynthia. Or their Uncle Frank. Or whatever the hell else you want to be. Because the family only rule is not there because ICU patients benefit only from seeing people with specific blood or legal ties to them. It's there to keep the number of visitors down so the staff can work and the other patients aren't being disturbed by wild ICU parties. The first night my grandpa was in the ICU, my aunt Kathy came up to stay with him and my mom, and when I say "aunt," I mean "person who has no legal or blood relationship with me whatsoever." And my mom, without turning a hair, said to the night nurse, "This is my sister-in-law." Here's what this semi-fib did: it gave the night nurse a leg to stand on if anybody administrative challenged her on who was in Mr. Adams's room and/or the family lounge, and it expressed the closeness of my aunt Kathy to Mom and Grandpa without giving the night nurse the impression that she was someone who should be consulted with my mother equally on Grandpa's care. And on Grandpa's last Saturday with us, it was Grandma's "niece" Vicki (again, no relation) who stayed with her while we drove into the wee hours of the morning to get there. Was that rule there so that a person whose husband was dying would have to sit alone and wait? No. Hell no. And if it was, I don't care; that is not my problem. I had a dozen or more really major problems that night, and strict adherence to hospital guidelines was not anywhere on the list.
You know what else? Grandpa had c. diff., and I took off the gloves to hold his hand on the day he was dying and the day before that. You bet your ass I did. I didn't touch anything else while I had the gloves off, and I washed up like crazy after, but did I make my grandpa's last contact with me come through latex or nitrile? No. No. A thousand times no, a million times no. I am not high-risk for infection, I followed the anti-infection procedures better than some members of the hospital staff in that regard, and I am a competent adult human being with my own judgment. They can make their rules. I make mine.
I know some of you are facing medical issues. Do not let them intimidate you pointlessly. Things are bad enough when you're dealing with a crisis without deciding that a spirit of legalism must inform your doings. Your first obligations are moral and interpersonal, not regulatory.
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Date: 2009-06-17 04:15 pm (UTC)when my sister was in the nicu after she was born, lo and behold my mom's best friend was there in the hospital explaining (with my mom's help) how she was married to my grandfather and was therefore family, and weren't may-december relationships great?
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Date: 2009-06-17 04:15 pm (UTC)no subject
Date: 2009-06-17 04:25 pm (UTC)no subject
Date: 2009-06-17 04:32 pm (UTC)(no subject)
From:no subject
Date: 2009-06-17 04:30 pm (UTC)My feeling is that rules are neither made to be broken nor are they made to be followed. I allow a general presumption of rationality, and so I will by default follow the rules; if I judge a rule to be more harmful than the breaking of it, however, I'll do what needs doing.
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Date: 2009-06-17 04:31 pm (UTC)Not that this comes as a surprise. I'm more "lawful" than you, too. (Though not enough to respect the letter of hospital rules, no.)
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Date: 2009-06-17 04:32 pm (UTC)no subject
Date: 2009-06-17 04:37 pm (UTC)no subject
Date: 2009-06-17 04:44 pm (UTC)no subject
Date: 2009-06-17 05:01 pm (UTC)no subject
Date: 2009-06-17 05:09 pm (UTC)Back to the original incident, I suppose someone might be wondering "does X think of me as family?" which is a reasonable question. For that matter, yes, I'm their cousin Cynthia, but do I want my third cousin who I have met once in my life to be there at a time like that? No, though if I did want her there she could legitimately say "I'm her stepsister." (I'll save that for the two people I do think of as sisters by choice, who are not blood kin. One looks enough like me that nobody would think "stepsister" rather than blood kin, with the other I'm surprised we don't get questions about interracial families and adoption.)
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Date: 2009-06-17 06:28 pm (UTC)no subject
Date: 2009-06-17 05:16 pm (UTC)I'd call you neutral good, as I have always understood chaotic to be breaking rules for the sake of breaking them and lawful to be respecting rules no matter what. You break rules when they don't make sense, but you consider why the rule exists and what purpose it might be serving.
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Date: 2009-06-17 05:17 pm (UTC)The only risk I can see is that the place I come from is a small town where people do know each other. Luckily, it is also an incestuous small town, so relationships could seem plausible.
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Date: 2009-06-17 06:31 pm (UTC)And yah, in Ralston there were "I didn't know you were cousins" reactions to people who had known each other for years and years. It just hadn't come up.
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Date: 2009-06-17 05:22 pm (UTC)You didn't break the ICU rules because you didn't give a fuck, or just felt like it; you broke them because a more important law (love, filial piety (http://en.wikipedia.org/wiki/Filial_piety))commanded you to.
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Date: 2009-06-17 05:27 pm (UTC)no subject
Date: 2009-06-17 06:30 pm (UTC)(no subject)
From:no subject
Date: 2009-06-17 05:43 pm (UTC)no subject
Date: 2009-06-17 05:44 pm (UTC)#1 NICU nurse, pointing at me: Who is this?
Parent 1: Our minister
Parent 2: My labor coach
Nurse: Which? Or both?
Parents: Both
Nurse: Huh. She'll have to-
Me: Sign in, scrub in, gown, mask, dispose of same, scrub out, sign out?
Nurse: Not your first time at the rodeo, Reverend?
#2
Same nurse, six days later upon checkout: This little girl sure has one big family.
Parent: Errr. well...
Nurse: You didn't fool anyone, you know.
Me: But you didn't rat us out?
Nurse: We watched you. And all of you were so polite. And so obviously *praying* for her... it just didn't seem important. (pause) Never tell what hospital this happened at, okay?
#3 Scene: an oncology ward
Nurse, pointing at me: And is this a relative?
Patient: Uh...
Me: This is the person who was in their wedding and who has quit her job to sit with her so her husband can stand to keep working to keep their insurance. I'll be here every day from 8 AM to 6PM.
Nurse: I'll write down cousin. That way no one is surprised if the last names don't match.
#4 Scene: an oncology ward- reverse airlock room. Doorway to hall begins to open.
Me, throwing myself at the door: STOP! You have to come in the other door and follow the scrub in procedure!
(Scrub room door opens so quickly it is clear he hasn't scrubbed. I hit the call button.)
Me, throwing myslef at the second door: STOP! You have to scrub and gown! It's for the patient's safety!
Unidentified, unscrubbed visitor: I'm her minister! She called me! Who are you?
Me: No, you aren't. No, she didn't. And I am the person who is trying to keep you from exposing her to something that could kill her!
Patient: Oh hell, that's my mother's minister. I told her I didn't want him here.
Disembodied voice from nurse's station: Is everything all right in there?
Me: No. We have some bozo who thinks that his clerical collar means he doesn't have to scrub in.
Nurse's voice: Nor sign in, apparently. Which means he either doesn't have or just lost his visiting rights on this ward. I'm sending security to escort him from the building.
Minister: Do you know who I am?
Nurse's voioce: You're the guy I'm going to call the cops on if he doesn't shut up and go quietly.
no subject
Date: 2009-06-17 06:38 pm (UTC)And that's what I meant when I said it gave the nurse a leg to stand on with administrative questions: most medical staff are not actually very concerned with the niceties of relationships, they're concerned that the people who are present are being responsible, respectful, and reasonably caring. They don't want to be rules lawyers, so if we give them a way not to, all for the best.
I'm amused at the idea that last names should match, though. I have my parents and one other relative surnamed Lingen that I see on anything like a regular basis, and it's been like that my whole life. I have a very large family and see lots of them--but it's relationships like "dad's father's sister who changed her name upon marriage; her husband and daughter" and "mom's mother's sister's son, who has his father's name." With
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From:no subject
Date: 2009-06-17 06:13 pm (UTC)no subject
Date: 2009-06-17 06:27 pm (UTC)Lawful neutral are the worst, because you can't make any sort of argument from necessity, or intent of the law, or anything, they don't care about the outcome, just the laws.
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Date: 2009-06-17 10:32 pm (UTC)1. Assume the rule is there for a reason.
2. Learn or try to figure out what that reason is.
3. Decide whether the reason is good, relevant, etc.
4. Decide whether to follow the rule.
I do follow most rules, but I try to make sure not to follow them blindly.
no subject
Date: 2009-06-17 10:33 pm (UTC)no subject
Date: 2009-06-18 02:13 am (UTC)I don't think that rules like this are stupid, though. They serve an important gatekeeping function: only the people who have a strong connection will push past them. The same thing with the gloves: the rules make people think twice before doing something risky.
I have a very Lawful orientation, though. Librarian administrator. Whatcha gonna do. One important thing I've learned as such, though, that seems appropriate here, is that regulations are not the same thing as laws. That's true literally as well as figuratively. And local rule systems are the weakest kind of regulations...
no subject
Date: 2009-06-18 03:56 am (UTC)This actually fits the situation as my brother and I saw it.
I remember several occasions in my child-hood explaining that I had three sets of grandparents but that none of them were 'step-'. But then I've always delighted in confusing people.
no subject
Date: 2009-06-18 05:36 pm (UTC)no subject
Date: 2009-06-18 03:38 pm (UTC)Example: Four people arrive together for a birth--the genetic/surrogate mom, the genetic father, the surrogate mom's wife (unrelated according to state law), and the adoptive-mom-to-be. Only two parents can be given official bracelets that permit them to go the nursery with the baby. But late at night--with only one (unbraceletted) parent awake, the nurses had no objection to my standing really close to the nursery door, or keeping the baby within reach of the door when he screamed while being changed.
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Date: 2009-06-18 05:59 pm (UTC)no subject
Date: 2009-06-18 09:04 pm (UTC)This is an excellent, excellent post. Thank you.
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Date: 2009-06-19 05:05 am (UTC)Lawful Good is belonging to the state church rather than a renegade band of Haugeans. ;)