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hello-my-name-isLast week, the Hunter-Bellevue School of Nursing’s students and faculty, as well as guests from clinical agencies, heard an outstanding presentation on the Institute of Medicine’s report on The Future of Nursing and the relevance of the Affordable Care Act. Mary Ann Christopher, MSN, FAAN, the new president and CEO of the Visiting Nurse Service of New York, was the featured speaker. The students were clearly engaged in her presentation and had the opportunity to interact during the discussion period with Ms.Christopher. Repeatedly, the students who came to the microphone to pose questions and react to her presentation identified themselves by first name. As moderator, I asked them to give their full name on several occasions. But it was disturbing to see that they had to be prompted to do so.

This is a common occurrence when I’m with staff nurses, including those who are graduate students. I have been puzzled about why, then recently received an email from a colleague who earned a PhD last year:

“What do you think about nursing badges with the nurses’ first name only on the top line, yet physicians have their first and last name on the top line. I was told if I had my first and last name on the top line of my badge patients might confuse me with a physician.”

This is such rubbish and leads to physicians being called “Dr. Lastname” and nurses being referred to by their first names. Nurses can tell you that both nurses and MDs use first names with each other when the physicians are medical students, interns or residents; but once they become attending physicians, they expect to be called “Dr. Lastname” while still referring to the nurses by first name.

I know that some nurses are afraid that a patient might try to track them down at their homes if they include their last name, but why aren’t physicians? What about social workers or nutritionists or other providers? And why are nurses perpetuating this inequality?

What’s in a name? A lot.

Diana J. Mason, PhD, RN, FAAN, Rudin Professor of Nursing

Last week, the Hunter-Bellevue School of Nursing's

Nancy Short

Nancy Short

Dr. Nancy Short is a professor of nursing who knew that the surgeon you’ve talked with may not be the person who does all or any of your surgery. In the spirit of “patient-centered care”, she discussed with her surgeon a request that he do all of her abdominal surgery that had been scheduled. The surgeon’s, hospital’s, and health plan’s response to Dr. Short’s request and her recommendations for others who are undergoing elective or urgent surgery are the subject of this week’s Healthstyles program on WBAI-FM and WXMR-FM. Producer and moderator Diana Mason, PhD, RN, FAAN, discusses with Dr. Short one of healthcare’s surprising secrets, particularly in academic medical centers.

[caption id="attachment_10177" align="alignleft" width="133"] Nancy Short[/caption] Dr. Nancy

Joy Jacobson is the CHMP’s poet-in-residence.

book_cover-2101This week Andrew Merton’s first book of poems, Evidence that We Are Descended from Chairs, is being released from Accents Publishing. Merton may not be typical of a debut poet: he is an accomplished journalist and chairs the Department of English at the University of New Hampshire, where I was his student 30 years ago. I got in touch with him again when the founder of UNH’s journalism department, Don Murray, died in 2006. Murray and Merton had a strong influence on my writing life at that time, and now that I teach writing I’m grateful to recall what they taught me.

With this new book of poems Merton is instructing me in another way. As poet Charles Simic writes in a foreword, Merton’s “chief subject may be described as our human comedy mixed with tragedy.” A good example is this poem (reprinted with the author’s permission):


coming out of a depression

sleet

gravel in a chicken’s gut

flies buzzing feebly against a screen

crows

morels at the foot of a dead apple tree

shadow of a hawk, receding

whisper of snakes on stone

the sun that powers the heart of a flea

a history of oceans
written on the underside of clouds

in a worn wicker basket
abandoned by a stream,
galaxies blooming

We might see this poem as a topographic map, demonstrating in relief the hills and valleys of a particular psychic landscape. Or maybe, more aptly, it’s a travelogue of the byways leading out of Hell. Regardless, we have little choice but to trust our guide.

We start in a season of bad weather. A single word, sleet, acts as both noun and verb of its own endless sentence. This is a place of ineffectual flies and of many birds, caged or scavenging or predatory. One life form here, the morels, are saprotrophic, feeding on dead things, and I imagine the apple tree to be reaching for the memory of the forbidden fruit it once bore. Thou shalt not eat of it, God warned, and I wouldn’t dare. In this place I wouldn’t even gather the morels for consumption. It’s an environment that reduces its raptor to shadow and retreat.

Those first six lines seem to me to be in whispered conversation with some other famous literary depressives: Yahweh, Poe’s raven, Keats’s narrator “half in love with easeful Death” from “Ode to a Nightingale.” But in Merton’s seventh line a movement evidenced only by the swish of snakeskin on stone changes the view. It’s a sound I can see. I’m reminded of a friend’s sumi ink-stick drawings; one in particular depicts a gray road winding through gray-black trees. A simple, colorless elegance.

Now with the eighth line a real and measurable power asserts itself. It may be no more significant than the electroconductivity taking place in the heart of a flea, but a life can revolve around that sun. And it does, here. A couplet emerges, and in it a pairing of water and language—a natural history written in clouds that must fall inevitably down.

A rain of words: a poet’s dream of redemption.

Merton’s final tercet calls forth a basket, left behind and emptied, apparently, of its cargo—the infant Moses, perhaps? And why not? The poem has recovered itself enough to form a stanza, a complex interplay of lines and images. It’s a free-verse universe but it’s ordered. Even during a clinical depression, involuntary body processes like heart rhythm and respiration are kept up. You’ve survived it again, the poem says. You walked through sleet and ate gizzards, and your powers of observation were never lost to you. Take a peek inside the basket, the poem invites. Go on: you’ll be stunned all over again to discover galaxies so numerous they can’t be counted. But they can be contained in the worn wicker of your mind.

You can watch Andrew Merton’s recent poetry reading at UNH, a video in three parts, by clicking here. And you can order the book from Accents Publishing.

Joy Jacobson is the CHMP’s poet-in-residence. This week