ICUPTSD

I’ve studied a lot about human behavior, but mostly physical behavior. I can give you a good idea of why your knee or hip hurts based on the way you walk or the shoes you wear. I can tell you how the body works with almost disturbing precision. It’s what I’ve been training to do, it’s why I’m in school.

But the mind is a mystery to me.

Tomorrow, in my quest to continue to understand the human body, I have to fight with the human mind. My mind, to be precise.

Because tomorrow my class is taking a trip to visit the ICU nearby to observe our role in the acute inpatient setting. We have had lectures on what to expect, what each cord goes to, what each beep and number represents. I can tell you pretty easily what the normal heart rate, respiratory rate and blood pressure are.

But I am terrified of seeing it.

Almost 3 years ago, I spent a day and a night in the ICU. I woke up from brain surgery in an ICU room to a nurse standing next to me, calling my name and telling me to breathe. Because for whatever reason, I kept forgetting to. Things were beeping, I was groggy, tired and scared. My family was there one moment, then I’d fall back to sleep and they would be gone. My now husband, then fiance, was supposed to be able to stay there the whole time (I mean, there has to be some perk of being a medical student at the same hospital, right?), but the nurse wouldn’t let him stay.

I struggled to wake up, to figure out where I was. I couldn’t tell if I was in pain or if I was just expecting to be. And then came the vomit. Except that since I hadn’t eaten anything all day (because of that whole brain surgery thing), I just retched, over and over and over again. I got nausea drugs, then more nausea drugs, and they did nothing. My nurse rolled her eyes at me when I begged, groggily for help, for something else to stop this. In the end, she gave me every nausea drug they had, and it wouldn’t stop.

My father held me hand and cried because there was nothing he could do.

After what felt like an eternity, we got the nurse, who was painfully unconcerned, to call my neurosurgeon to give me something to help me relax. They decided that an incredibly strong anti-psychotic med was the right choice, and to their credit, It worked. But when I woke up, my family was gone. I was alone. I was scared, confused. I didn’t know what time it was, if I was okay, what had happened.

All night I drifted in and out of consciousness, alone, the nurse on the other side of a glass wall that seemed like a mile away.

Finally, it was light outside, and I was able to keep my eyes open, to assess what was going on around me. I had oxygen in my nose, a very painful arterial line in my wrist, two IVs, a catheter and a HUGE bandage on my head. I was in the intensive care unit, because I truly needed intensive care. I was in a pretty severe situation, which up until that moment, I hadn’t even considered or realized.

A few hours later, I was moved to a normal room, with fewer needles and tubes and medications and well, the rest is history. I’ve worked really hard to forget that first day after surgery and tomorrow I’ll have to face it.

Just thinking about it makes my heart race, makes me panic. It’s silly because I’m going to observe tomorrow, I’ll be walking around, not in bed. The tubes won’t be coming from my arms or my face. And yet, I’m still terrified. I feel so unsettled, nervous.

I want to be rational, but this fear is pretty irrational.

I want to be in control, but it is entirely uncontrollable inside my head.

Maybe it’s silly. It’s just a hospital ward. It’s just wires, it’s just tubes.

It’s just scary.

13 Responses to “ICUPTSD”

  • Dawn:

    aaaaand I’m guessing this all didn’t help your puking phobia either … xoxoxox

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    Katie Reply:

    @Dawn, YOU HAVE NO IDEA.

    [Reply]

  • Katy:

    This is SO interesting to me because I spent a LOT of time as an observer in ICU–weeks, actually–and I think it made me better at the whole hospital thing. Before that, I didn’t understand why anyone would want to be a doctor or work with sick people. Now, I get it. I’m also good about visiting sick people in the hospital and whatnot.

    But PTSD is real and I’ve had what I would call flashbacks because of hand soap or a mobile we had over Charlie’s crib. If tomorrow is tough, it might be worth it too book an appointment to talk to someone and see what they say. PTSD is nothing to screw around with–the more you encourage the negative cycle, the harder it is to fix.

    [Reply]

  • Even though I wasn’t in ICU, the experiences with my two recent surgeries bring a little fear. I’ve been there, done that. And now I can dream (oh so accurately) about having more surgery or going to the ER or having a scary acute illness that means surgery or the ICU, which freaks me out.

    Just breathe tomorrow. A lot.

    [Reply]

  • As soon as I saw the acronym in the feeder, I knew what you were headed into.

    Hugs from across the country. It won’t be easy, but you are a STRONG person. If no one has taught you lamaze/relaxation breathing (which most women don’t learn until they have a baby), close your eyes and breathe in deeply, then let it all out.

    It doesn’t make all the anxiety and fear go away, but it does take it down a notch.

    If you want to trade places and take two undergrad Psych exams tomorrow, I’ll take the ICU tour and take really good notes for you…

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  • Jen:

    I can’t make your anxiety go away & wouldn’t know how, even if I could – but I can confirm that being a patient in the ICU is nothing like observing in the ICU.

    I’ve been on both sides of that bed – being a patient is no fun, scary, intimidating, painful…

    Being a student in the ICU doesn’t have to be scary.
    I hope your day goes well.

    My perception: it was kind of an edge-up for me – I knew what certain things were. I could relate to the arterial line, the CVP, the foley…
    Good luck!

    [Reply]

  • It’s not crazy. Or at least, if it is, I understand. I’ve felt the same way (and actually just wrote about it today, kind of: http://startupmarriage.blogspot.com/2010/09/where-hopelessness-meets-terror-thing.html)–I’ve actually never once been back to the church where I had my first huge panic attack. I had an early one in a donut shop, too, a 24-hour-place that’s like a staple of my hometown, and it was years before I could go back.

    Good luck tomorrow. Be strong. Let us know how it goes!

    [Reply]

  • Good luck today, Katie! I hope the anxiety subsides quickly or – at the very least – the day flies by. Hang in there.

    [Reply]

  • I’ve only had to visit someone in the ICU once. But even just that scared the crap out of me. And hey… I’m afraid of the dark. We all have our irrational fears. But it’s just one day (RIGHT??) and then it’ll be done. This, too, shall pass.

    HM

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  • good luck. you are an amazingly strong person, and i know you will be able to get through this, too.

    xoxo

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  • Is your instructor the sort who you can give a heads-up to about this? I want to slap your nurse silly, but your experience could be valuable to the other folks in your class- they can’t really understand what it’s like until they’ve been the one in that bed.

    [Reply]

  • Sounds like your ICU nurse needed a swift kick to the head. How did it go today?

    [Reply]

    Katie Reply:

    @Chelsie, Meh. It was rough. I’ll probably find a way to write about it later this week, just not ready to relive it yet.

    [Reply]

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About the Brain
Welcome! I'm Katie, a 28 year old, full-time graduate student who just happened to have brain surgery in November of 2007 to give my ginormous brain a little more space. This blog chronicles my daily life, from relentless headaches to being a doctor's wife. Sit down, get comfortable and stay for a while.
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