S1E36 - Summer on Frontline Nursing in a Rural Area

Episode Notes

The host Margaret Killjoy can be found on twitter @magpiekilljoy or instagram at @margaretkilljoy. You can support this show and others on Patreon at patreon.com/strangersinatangledwilderness.

Transcript

Margaret Hello and welcome to Live Like the World is Dying, your podcast for what feels like the end times. I'm your host, Margaret Killjoy, and also welcome back to the show. It's been several months since I put out the last episode and you'll be shocked to know that's because a bunch of stuff happened in my life which is, you know, everything to do with everything that's going on in the world. Um, maybe most importantly I moved and I now live on-grid in Appalachia instead of off-grid and Appalachia, and I'm very happy for the transition. It's pretty cool to have enough electricity to make this show. And also have an oven that works. I really like having an oven. And I also got a puppy, and I got a puppy who is rescued, so I've not—I spent several months where instead of sleeping or getting anything done, I had a puppy. I still have the puppy but now I get to sleep because the puppy is like five months old. So that's where I've been. And, yeah, welcome back to the show. This week I'll be talking with Summer who is my friend who is an ICU nurse in a rural area in in rural Oregon, which is not the most lefty area, and we're going to be talking about pretty much the—the politics of vaccination and some of what they've dealt with during the pandemic. And I think you'll enjoy it. And this podcast is a proud member of the Channel Zero Network of Anarchist Podcasts, and here's a jingle from another show on the network. Duh da duh da da daaaaa.

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Margaret Okay, so if you could introduce yourself with like your name, your pronouns, and then I guess a little bit about what it is that you do that is the reason I invited you to talk on the show today.

Summer My name’s Summer. I'm a nurse, I live in Rural Oregon. I use they/them pronouns and I've been working in an ICU and have experienced now working in a Covid ICU—full Covid ICU. And I come from a background of radical politics and we're here today to talk about some of that.

Margaret Yeah I guess I wanted to have you on because I've seen some of your social media posts about the hate that you've gotten at the—at the ICU that you work at and I know there's a lot of conversation right now about what do we do about the unvaccinated people who end up in hospital, and you know, combined with the—there's a lot of like news stories about, you know, the ungratitude of the unvaccinated folks and things like that. And I guess I just wanted to talk to you to get more of a firsthand idea of what it's like working at an ICU during Covid in a pandemic. I already set the Covid part.

Summer Sure, um, so to give a little context: like I said, I live in a rural area of Organ. It's predominantly conservative, a lot of libertarian bent, um, included in the state of Jefferson—if you're familiar with that as a concept. And we experienced a huge Covid surge in our ICUs August through October of this last fall—or summer into fall. Maybe even into November really. And so rural area with low vaccination rates. Like I said, a lot of libertarian politics. And during that surge we were experiencing some of the worst numbers in the country in terms of infection rates and it hit our hospital pretty hard. We serve, uh, like very wide rural area. We’re, um, the highest level trauma center within hundreds of miles. And so we get people from a really wide region of the state and even from Northern California. And our ICU just got flooded with very, very sick Covid patients. It's a fifteen-bed ICU and as soon as that filled up, you know, it really impacted the entire hospital system. And it ended up that our ICU and our step down unit were both full of critically ill Covid patients during that time frame, and we ended up having the National Guard and FEMA nurses present at the hospital to just help it continue to function and help it serve the Covid patients and the rest of the patients in the hospital who needed care. So that's the larger context of what was going on. And then more specifically in my experience, you know, the politics around the pandemic not only impacted, like, who's getting vaccinated and who's not and the numbers and how they grew so rapidly, but really, they impact and trust in the medical system. And there's already a lot of reasons for a lot of different demographics and populations to have distrust in the medical system. But right now we're experiencing that kind of expanding into different demographics and different populations. And the things that I think you're referring to that I've experienced was, you know, there was a day during our surge where the national news actually came into our ICU to report on what was happening in this rural area. And, you know, at that time the vast majority of patients we were seeing were unvaccinated. And that very same day there was a protest outside the hospital against the state vaccine mandate that had not been enacted but was upcoming, that would require all health care workers to be vaccinated, um, barring a religious exemption. So we left a shift where the national news was present, high Intensity, we lost like 3 patients that day in our small ICU I think, um, to walk out of the hospital to hundreds of people across the street protesting the vaccine mandate. And then, you know, of course mixed in there are antivaxxers are—you know, generally antivaxxers— more far-right folks mixed in. It was a pretty tough day, a pretty emotional day for a lot of us walking out from some really intense cases in the ICU to a public that is completely undermining your lived reality, you know, just on the other side of these doors, right? And I think that that's, you know, that's a thing that's been seen at different areas across the country, that tension that's escalated between healthcare and the public. And I think there's so many things that we can say about that. But really, I—you know, this question of like vaxx versus antivaxx, um, it's something I've thought out about quite a lot, obviously. And I actually had a friend somewhat recently who, um—a mutual friend I believe—asked me whether I still have compassion for unvaccinated patients. You know, going off of his experience of having healthcare worker friends who are kind of just totally disillusioned around vaccination rates and taking care of these patients who didn't take what seems like the obvious step to take care of themselves.

Margaret Yeah.

Summer And the answer to that is like, yes, I definitely still do have compassion for these people, and um I can understand not—I can understand the frustration. I'm still frustrated, right. It’s still easy to get really angry. But for me it's the same as any other patients that I treat, whether it's an OD, or a DUI, or people coming in with exacerbations of chronic illness. It's not really my job to judge why someone's in the hospital. It's not my job to moralize their suffering. And if you're in a Covid ICU, that is like a hellhole of suffering, let me