Humor Injections: A Humor and Healthcare Blog

Archive for Patient care

The Pros and Cons of Cynicism

Recently, I’ve been thinking a lot about the relationship between cynicism and humor. I admit that I’m pretty cynical these days and while my cynicism can easily lead to negative thinking, with a little effort, it can also lead to humor.

Merriam Webster’s online dictionary defines a cynic as “a fault-finding captious critic.”  Of course, then I had to look up “captious” which apparently means an inclination to stress faults or raise objections.  And cynical is defined as “contemptuously distrustful.”  (Note: I cynically expect that I will never use the word “captious” in a sentence).

Essentially, cynicism is marked by fault-finding distrust and criticism.  Clearly a trait that would not be adorned by the masses.

We all know the terminal critic.  He’s the one who always complains about the weather, the temperature, and the meteorologists.  “How can they get paid for being wrong all the time?”  Or she is the one who frowns upon any discount or sale.  “There must be something wrong with it for them to sell it at such a discount.”  These people are the life of the party – at least when we watch them for our own entertainment.

Cynicism as a personality trait is not pleasant.

However, cynicism that leads to humor is pretty cool.  Let’s look at the difference.

A cynical personality looks at the world through poop colored glasses.  Everything and everyone is suspect.  There is no inherent good and conspiracy theories abound.  A true cynic is always right and everyone else is always wrong or worse yet, out to get them.  I remember Archie Bunker once saying, “I ain’t paranoid.  I know that people are out to get me.”  He’s a good example of a true cynic.

A cynihumorist, however, uses cynicism to see the absurdity and humor in everyday life.  This is the person who looks at a situation and then twists his or her head and thinks, “Hmmmm, that’s weird.”  My friend Dale Irvin, a humorist, once said that when people talk about the weather in Phoenix, they always say, “But it’s a dry heat.”  He said, “So is fire but that doesn’t mean I want to live in it.”  He took his cynicism about the weather and turned it into something funny.

Turning cynicism into humor can be a healthy way taking the high road above negativity.

So consider your approach to cynicism.  Is it steeped in negativity thus leading you to a never-ending distrust of situations and people?  Or can you turn it into something funny which brings people together through common experiences?

To get you thinking about this, here are some ways to turn healthcare cynicism into humor:

  • Cynicism:  The doctor never signs his orders.
  • Cynihumor:  I’m going to staple the orders to my forehead until the doctor realizes he needs to sign them.
  • Cynicism:  Mrs. Johnson will NOT stop pressing her call button.
  • Cynihumor:  I’ve attached my car battery to Mrs. Johnson’s call button.  Next time she pushes it she’ll be shocked when I come to her room.
  • Cynicism:  I hate meetings.
  • Cynihumor:  I love meetings because I can’t hear Mrs. Johnson’s call button.

Consider having a luncheon meeting where you and your colleagues turn your cynicisms into cynihumor.  It might be fun!

Ron

Medical Humor Blog

Just discovered a great new blog.  Check it out:  Medical Humor.

Ron

Let Us Find Balance Through Our Humor

My son spent Memorial Day remembering his Anterior Cruciate Ligament (ACL) that died in the line of duty a few weeks earlier.  He tore his ACL during a lacrosse game and had surgery four days ago to repair it.  Luckily, the surgery went well and he’s doing just fine.

I wrote the opening line to this blog in my head as I was pondering my Facebook update on Memorial Day.  I thought it was both funny and timely.  But then, I decided not to write it because I didn’t want to spend the rest of my holiday answering angry comments like “Are you a communist?” or “Why would you make fun of such a serious day of remembrance?”

Perhaps I overreacted.  Maybe all my Facebook friends would see it as tongue-in-cheek and not an insult to the valor of fallen veterans.  But then again, maybe not.  As a conference organizer, I was once criticized for using a rocked-out guitar solo of the Star Spangled Banner to open the conference because it was “insulting to veterans.”  The theme of the conference was Rock and Roll, so I thought it made perfect sense to blend our patriotism with the theme in an entertaining way.  But others did not see it that way.

My father and my uncle served in the Pacific in World War II.  My brother spent six years in the Navy doing tours on a  nuclear submarine.  During graduate school, I worked at Ft. Belvoir Army Medical Center counseling retired military personnel and families.  I deeply respect the military.  So, does that mean there is no place for humor when it comes to something as serious as Memorial Day?  It makes me wonder.

When I worked in hospice care, respect was woven into the fabric of everything we did.  The dignity of the patient and family was critical to the success of our care.  And yet, we laughed at the absurdities of life and the incongruity of death.  Let’s be honest.  It was funny when a priest thought that a patient was moaning in pain when she was actually on the bedpan.  It was funny when a patient told me she had been “dying to see” our inpatient facility.  And it was hilarious when a patient referred to Sister Catherine, a nurse, as “Attila the Nun.”  Both the staff and the patients could appreciate the humor in these situations.

But there were those who could not laugh.  The magnitude of their circumstances was so overwhelming, the best they could do was be serious – all the time.

I can respect the fact that some people are serious by nature and that some people take the world very seriously.  But I suggest that if we can view our circumstances with a bit more objectivity and not have so much of our personal identity wrapped up in what we do, we would have the ability to see the world in all it’s many colors rather than in black and white.  Every situation has the potential for joy and tragedy.  It’s a balance.  It’s not all or nothing.

Just like Memorial Day, healthcare is full of seriousness.  Let us remember to always respect those with whom we work but let’s also not get so caught up in the seriousness of what we do that we fail to grasp the joy and humor that is part of life…and death.

Ron

Just One Thing

OK.  So, how do you make something more fun?  Pick just one thing.

Everything you do is a process (especially in healthcare!).  Every process contains a series of steps.  Each step has the potential for being more fun.

In a recent workshop, my audience was brainstorming how to make walking the dog more fun.  We listed all the steps from putting on your shoes, to getting a poop bag, to going on the actual walk.  As we discussed options for making it more fun, we came up with this:  Put a photo of someone you don’t like on the poop bag.  Then, when you’re picking up poop, it’s not only less disgusting, it’s actually funny.

That’s brilliant!  And the best part?  It’s just one thing.

I bet the next time you pick up poop with a poop bag, you’ll think about it completely differently!

Ron

The “Body” of Evidence is Clear that Our Priorities are All Screwed Up

Since humor is all about perspective, I thought you might be interested in an article I read about the impact of the economic downturn on elective medical procedures.

An article in Modern Healthcare reported that while elective, health-related, surgical procedures dropped moderately to significantly in 2009, cosmetic procedures barely dipped

So, basically, knockers knocked out knees.  Botox beat bunions.  And liposuction lapped laparoscopies.

Once again, our priorities need adjustment.  Too bad there’s not an elective surgery for that.

Ron

How to Have Fun in Healthcare

If you’ve ever doubted that fun can be a treatment option, check out this article in USA Today about a prom held for a cancer patient at Walter Reed Army Medical Center.

For one cancer patient, it was a prom to remember

Way cool.

Ron

Testing for Tobacco

I recently read where some health systems will refuse to hire individuals whose blood tests positive for nicotine.  In other words, if someone is a smoker and they only smoke at home,  not at work, they could be prevented from working in some health systems.

While I understand that organizations want a healthy workplace and healthy employees, and I am in no way promoting the nasty habit of smoking, I think this is insane.

Do we really want to start analyzing an individual’s personal habits as a prerequisite for jobs?  Will this lead to testing for presence of Ben & Jerry ice cream in fat people?  Will we analyze blood to find out if someone drank a beer after its born-on date?  And what about all the caffeine-addicted Starbucks fans?  Will they be eliminated from competing because of a buildup of latte in their blood?

Between you and me, I think we’re testing for the wrong things.  There are qualities that have a far greater impact on the work environment than smoking and bad health habits.

So, to provide a fair and balanced perspective, I suggest that healthcare recruiters develop blood tests for the following:

  • The presence of the fish from the previous night’s dinner.  These people might actually reheat leftover fish in the microwave at work – which is not good for anyone.
  • The presence of an OCD gene for people who line up pantry items according to alphabet.  These people will just annoy everyone and end up working in Quality.
  • The codependency gene.  Ninety percent of the healthcare workforce is already codependent.  We don’t need any more.  If that’s OK with you, that is.
  • The birth defect known as Non-Healthcare Related Executive Syndrome.  If you’ve never worked anywhere near a bedside, you should not be allowed to be in healthcare management.  You’ll just use too many graphs and charts.
  • The Day-shift-a-phobic gene.  If you’ve worked nights for 30 years, there is just something wrong with you.
  • The Phlebotomist with depth perception issues.  I don’t need to be stuck…again.

I believe that if we begin the screening with these folks, the smoking problem will take care of itself.

Ron

Nursing Homes. Have a Little Fun, Won’t You?

A report appeared in today’s paper stating that one-fifth of the nursing homes in the country get poor ratings.  As the population gets older, nursing homes will be the final leg of the journey for many more Americans down the road.

So, here’s the deal.  Because of the low pay and less-than-optimal working conditions in many nursing homes, the facilities will continue to get poor ratings until the directors and owners wake up to the reality of how they attract and keep good staff.  Basically, there are two ways.

One, pay them a lot of money.  It will never happen so let’s move on to the way two.

Two, create an environment where people want to work.  It’s that simple.  Be a desirable employer.

When I was a Manager of Counseling Services at Hospice of Northern Virginia, I could not pay my employees what they were worth – nor what apparently the nurses were worth.  It was the nature of the beast.  So, I had to supplement the salary by creating a workplace where employees felt valued and supported.

I did this through recognition, supervisory counseling, and by creating the most fun department in our hospice.  Even though time flies whether you’re having fun or not, time definitely flies when you ARE having fun.  By making meetings more fun, birthdays more fun, and generally trying to create a light atmospere amongst the heaviness of hospice, I believe we had a department where people wanted to work.

The result?  We attracted and kept good people.

So, to my colleagues in the world of nursing homes, assisted living, and residential care, please try to understand that you will probably never attract good employees with money but you could attract them with fun-ny.

Ron

Placebo Journal is Worth Reading

Here’s a great website for healthcare humor:  Placebo Journal.

You can also check out their blog:  Placebo Journal Blog.

Ron

Jewish Humor

A Jewish friend went to the Kennedy Center this week to see Handel’s Messiah.  I said, “Why would you go to the Messiah?”

He said, “Hey, the tickets were free.”  So funny.

I told him I could have given him the Cliff Notes…via The New Testament!

Anyway, it made me think of my friend David Glickman’s Jewish Comedy show.  He performs this hilarious program for synagogues all over the country.  The greatest thing about his show is how specifically customized it is for that audience.  In fact, when David talks about the power of customized humor, he routinely says, “The more specific, the more terrific.”

You can see funny video clips of his show here:  David Glickman.

In healthcare, one of the things that made my work so much fun was the “specific” humor that was all around me every single day.  There was bowel humor, bladder humor, call button humor, etc.  And the reason it was so funny was that we all lived in that environment and could really relate to it.

So, the next time you’re looking for a way to include some humor in a presentation, meeting, or with a patient, just remember, “The more specific, the more terrific.”

Ron