Catching up with Karyn

Some of my favorite people in the world are oncology nurses. If you ever want to meet a group of smart, skilled, and passionate healthcare providers, look to the oncology nurses. They’re there day in and day out on the front lines, providing exceptional care and essential emotional support, to people with cancer. And if you ever want to meet a group of nurses who know the value of a well-timed laugh – oncology nurses can help you with that as well.

Faced with the stark and bleak side of healthcare, oncology nurses have a finely tuned appreciation for the silly and bizarre. To this day, I remember the reaction of the oncology nurse who was treating my college-aged son David when he introduced one of his best buds as Tonto.

“If he’s Tonto,” the nurse asked Adam, “then who are you?”

With a great big grin, my son rubbed his balding head and announced, “I’m his Chemo-sabi!”

Sometimes those laughs come exactly when you need them....

Happy Nurses Week!

If you've ever cleared out an entire Pizza Hut just by talking shop with your co-workers, this week is for you!

If you've ever complimented a stranger on their lovely veins (or merely ogled from afar!) this week is for you!

If you've ever proven your ability C-diff at a distance, using only your nose, this week is for you!

If you've ever defined 'medication error' as "I should have taken the Ativan myself!" this week is for you!

If you've ever had your scrubs seized by the CDC as the most terrifying thing they've ever seen, this week is for you!

Nurses are amazing people, and this is the week we celebrate our profession. Whether you're a nurse in the hospital setting, health clinic, school, nursing home or long term care setting, corrections facility, military, or beyond, the fact is that you're the front lines of health care in this country. You are the number one source of caring, compassionate patient care. The work you do makes a real difference in the lives...

We'd been called in for an emergency bowel obstruction. Our scrub nurse had some bad gas - don't ever trust the cafeteria's tacos! In the  middle of the procedure, the surgeon starts freaking out. "I nicked the bowel! Don't you smell that?"  He ran the bowel over and over before he was finally satisfied that it was intact, and he closed. Afterward, when I talked to the scrub nurse about it, she said, "What was I going to do - tell him I farted?!"

OR Nurses: this bookis for you! I count the years I spent as an OR nurse as some of the finest (and funniest!) of my career. Talk about the tight bond between nurses! I learned true caring, compassion, and grace-under-pressure from my colleagues behind those double doors.

There were also lots of laughs - and thank goodness for that. Laughter provides the emotional resiliency we need to operate at the top of our game in the high-stress, high-pressure OR environment. Nurses who laugh regularly enjoy considerable physical and mental...

I was on my way to speak to a group of diabetes educators at a regional hospital when I overheard two interns talking in the hallway. They were watching an elderly gentleman, who was moving slowly down the all, and trying to figure out exactly what the man's complaint might be.

“I’ll be you $5 he’s had a hemorrhoidectomy," one intern said.

The other intern did not agree. “No way. He’s suffering from arthritis.”

They both approached the man to inquire.

“Why are you moving so slowly, Sir?” asked one intern.

The old man replied, “My slippers are too large.”

Diabetes and the Family Caregiver

Being a caregiver - whether you're a health care professional or a family member or friend - can be challenging sometimes. We like to think we know what's going on. After all, we work hard to be a good caregiver. This is especially true for people who care for someone who has diabetes. Over the years, I've spoken with family caregivers who...

Generally, I don't have a hard time convincing people to add the healing power of humor to their diabetes management routine. Unlike diet and exercise, laughing is actually fun. (Yes, I know there are people who will tell you there's nothing more fun than an invigorating spin class. I am not one of those people.) Still, there are times when it seems like there's nothing in your life worth laughing about.

My friends, this is what yoga laughter was made for. I encourage you to check laughter yoga out. If you ever need to put a smile on your face in a hurry, try this simple exercise from What's So Funny About Diabetes?: A Creative Approach to Coping with Your Disease. It's one of my absolute favorites:

Gradient Laughter

Start by smiling—then slowly begin to laugh with a gentle chuckle. Increase the intensity and volume of the laugh until you’ve achieved a hearty laugh. Then gradually bring the laugh back down to a smile again.

It sounds simple, right? Just try it. It's okay...

Humor is essential for effective diabetes management. Whether you have Type 1 Diabetes, Type 2 Diabetes, or have been told you're pre-diabetic, you want to have humor in your routine, right along with testing your sugar and your morning workout. Consider your time laughing and playing as much a part of your diabetes management as counting carbs and making sure you have testing supplies. The British Psychological Society recently published an article looking at the way mothers and children play together. Play can accomplish some really important things. It is by playing that we develop our creative imagination and build the ability to solve complex and challenging problems. Additionally, play elevates the spirit and provides a joyful experience, critical for our ongoing emotional stability and well-being. But are all types of play equally beneficial? Does the type of play activity we engage in and the toys we use to play with impact the positive impact play can have in our life?...

It’s no secret: I believe in the power of play.  When we set aside our serious resolve and a little bit of dignity in order to have a good time, we free our minds to absorb information in a fresh and effective way. Play awakens the imagination and the intellect. “Humanity has advanced,” Tom Robbins said, “when it has advanced, not because it has been sober, responsible, and cautious, but because it has been playful, rebellious, and immature.”

That sense of play is on full display at the Children’s Museum of Manhattan. Check out this NY Times Article, “Where Children Discover Their Inner Child.” Eat, Sleep, Play: Building Health Every Day is an interactive exhibit that harnesses the power of play to teach children about their bodies, and what they can do to stay healthy. The exhibit includes the Royal Flush, which uses an oversized toilet and Mary Poppins-style voice to talk about bodily functions. As you can imagine, it’s a...

It might be hard to find an answer to that question.  The healthcare community is facing a plethora of perplexing problems.  There’s a continual pressure to do more with less.  All we have to do is see more patients, cure more conditions, and increase customer satisfaction with less staff, in less time, and with fewer resources every day.

It doesn’t seem like there’s a lot to laugh about.

Nothing could be further from the truth. Healthcare needs humor. Humor has incredible benefits for our patients, healthcare providers, and healthcare organizations and systems.

The strategic use of humor can transform the healthcare experience for everyone. Here’s how humor can help:

• Improve the patient experience, opening the doors to effective communication and alleviating anxiety
• Create a positive workplace environment. Combat the problem of nursing hostility and staff tension
• Provide staff with an effective, low-cost way to reduce stress and avoid burnout...

I work in a neurologist’s office. We try to get really complete histories from every new patient but the patient I was working with, Mr. K, hadn’t checked anything on his intake paperwork. No history of heart disease, no high blood pressure, no cancer scares – not a thing. That’s so rare among our patients (Average Age 78!) that I had to ask him about it.

“Medical history?” He shrugged. “Can’t say there’s much. Of course, I’ve had amnesia as long as I can remember.”

This little grin pushed up the corners of Mr. K’s mouth, and his eyes suddenly started twinkling. I burst out laughing, and so did he. It turns out he did have a little bit of medical history, and he shared that with me after our laugh.

I was dropping off the file when one of the other nurses stopped me. “What was going on in there?”

I shared Mr. K’s joke. “I hate it when they try to be funny,” she said, rolling her...