At least this Challenges in Health Care workshop wasnât boring. And, the meeting was at the very nice Adolphus Hotel, in Dallas.
After a few hours of lecture, everyone was divided into pairs for âpracticalâ exercisesâŚand it was actually fun! There were about four dozen attendees from all over the country. One person played the âpatientâ and the other was the âcaregiverâ. They had to pick a total of three cards from a fishbowl. Each card would have a disability, condition, injury or special circumstance on it. The âpatientâ had to pick one card from the disability/condition bowl, and act it out. The âcaregiverâ had to pick two cards from the injury/condition bowl, and âtreatâ or âassistâ the patient with whatever the cards dictated.
It was 11:45. The workshop leader announced that whatever the next cards were drawn, the âpatientâ had to act them out until we returned from lunch, and the âcaregiverâ had to âassistâ the âpatientâ during the whole lunch break.
It was Davidâs turn to be the patient. He went up to the fishbowl the instructor was holding, and swirled his hand through the cards, and selected one. âBlindnessâ it read. OâŚ.KâŚ.he could do blindness, he told himself.
Next, his partner for the workshop, Karen, went up and dove her hand into the fishbowl that contained cards with conditions on them. âSecond degree burn, left handâ was the first one she drew. She reached again, digging through the cards with her fingers, and pulled out a second card. âBroken thumb, index, and 4th and 5th fingers, right handâ. OâŚ.K⌠She knew how to bandage a burned hand. And she knew how to splint broken fingers. She could do this fairly easily.
One by one, people went and took cards from the fishbowl.
Then, at the instructorâs cue, they began to treat the injuries and assume the conditions they had to act out. Tables held gauze, tape, scissors, splints, braces, and a variety of first-aid supplies.
As each team began the role-play, the instructor reminded the room that they had to play it out all the way through the lunch break. Some giggles and a few good-natured groans went through the group. âTreat your patients, and care for them during the break. Everyone be back here by 1:30. And, no matter what, stay in character. The point of this exercise is to experience these situations and challenges from the perspective of real patients and real care-givers,â the instructor said emphatically, then left the platform.
David found a chair, and closed his eyes to simulate blindness, while Karen went to the supplies table to get what she needed to treat his hands. Gauze pads, rolls of gauze, tape, and finger splints.
David and Karen had sort of known one another before the workshop, but never actually met, in person. They had first met over the phone, while discussing patients their clinics had in common. Over a period of months, they had gotten acquainted, and, in addition to the business of e-mailing or faxing patient records, they had also begun to talk about personal things. His wife had become an invalid because of bad health. Her husband had lost all interest in her, sexually â one of the double-income-no-sex marriages that have become common. Once in a while, David and Karen would forward a bawdy joke to one another via e-mail.
It was actually a coincidence that they were attending the same workshop. But when the found out, they had e-mailed a picture of themselves to each other. David had a distinctive gray beard; Karen had inviting eyes and a warm smile. She spotted him first. As she approached him, they read one anotherâs name badges, and were delighted to finally meet in person. They exchanged a friendly hug. Naturally, when the practical morning exercises began, David and Karen decided to be partners.
He sat in the darkness of his closed eyes. Listening. Soon he heard her voice as she returned with a handful of first-aid supplies. âWhy are your eyes closed?â she asked. âI got the âblindâ card,â he answered. âOh no,â she playfully shrieked. âWhat are my injuries supposed to be?â âThey sound pretty painful. Left hand, second-degree burns; thumb and 2nd, 4th and 5th fingers broken on your right hand,â Karen replied.
âOh, greatâ David said sarcastically. âWhatâs wrong? Karen asked. âUmmâŚKarenâŚthis means that youâre going to have to feed during lunch. Remember, we have to play this scenario out through lunch.â Karen giggled as she remembered the instructions. âYep, youâll have to completely depend on me for everything during the break. Iâll get to lead you around, and feed you for the next 90 minutes. Itâll be fun, David. Now hold out your left hand so I can bandage it.â
David sat patiently as Karen bandaged his left hand. She wrapped it with so much gauze that he felt like he was wearing a thick mitten. As he sat there, eyes closed, he noticed the sounds of her breathing, the rustling of the fabric of her blouse and skirt, and her scent. She was a very attractive full-figured woman, with short hair, a special sparkle in her eyes, and a melodic voice. He was thrilled by this opportunity to meet her in person. They had developed a long-distance friendship. It was always nice to meet an acquaintance at an out-of-town workshop â even if, in this case, they had never really met in person before. Karen was an incredibly sensual woman, and David was looking forward to spending time with her during the break. David noticed that there were fewer and fewer voices still in the meeting room, as people left to go to lunch.
The course instructor walked by, asking how things were going. After reading the cards that had been randomly selected, the instructor walked away, then returned with a blindfold â one of those sleep masks. âPut a cotton ball over each eye, and put this on him, so heâll be completely blind. It will remove his temptation to open his eyesâ Karen obliged, and fitted the blindfold snugly. David was in complete darkness.
As Karen bent the soft metal splints to conform to Davidâs fingers, she noticed the strength in his hands and the slenderness of his fingers. His shoulders were broad, and his skin was tan from being outdoors. She noticed that there were no calluses on the hands of this doctor, because David didnât do manual labor. As she taped the splints in place, making it impossible for him to use his thumb, index and last two fingers, she looked him over thoroughly. His eyes were totally covered, and she knew he couldnât see her scrutinize his all of his features. She had rendered both his hands virtually useless, and his feigned blindness compounded the attention she would need to give him during the break. It would be fun, she thought, to have to lead him around the halls of the posh hotel, and feed him lunch.
âAll finished,â Karen declared. âReady to go for lunch?â
David stood up, visionless. His left hand was wrapped in a half-mile of gauze, and he had splints taped to the thumb and fingers of his right. The next 90 minutes would be quite an adventure, he thought.
As Karen took him by the elbow, she began to lead him from the meeting room into the hallway. At first, his steps were very cautious. Walking blind in a strange environment required him to completely trust Karen for his safety. She guided him with her arm and her voice, helping him avoid chairs and tables, leading in through the doorway and out into the hall. He felt incredibly awkward and helpless. Down the hallway, and into an elevator she led him, taking them two floors downward, to one of the hotel restaurants. As she steered him along, they enjoyed pleasant conversation and banter. They joked about his âblindnessâ and âhelplessnessâ, and discussed what he might want for lunch. As they walked along, he relaxed, trusting her to care for all his needs.
The hostess seated them in the restaurant. She sympathetically asked about Davidâs hands and the mask over his eyes. Karen explained that this was an assignment for a workshop they were attending. As they threaded their way toward a table, the many smells and sounds of the restaurant seemed more vivid to David, as he walked in darkness
It was awkward to sit down, but with Karenâs help, he managed. He pressed his wrists against the sides of the chair, to help scoot it forward to the table. By the time the waitress arrived at the table, the two of them had decided that neither of them were very hungry, so they ordered a turkey sandwich to split between them. After the waitress poured the water, and took their order, Karen announced that she needed to go to the restroom. David jokingly promised that he wouldnât wander off while she was gone.
While he was alone waiting for the waitress and Karen to return, David remembered that he, too, needed to use the restroom. He had intended to go before the last exercise began, but postponed it, thinking heâd wait until the lunch break. Now his bladder was reminding him. Well, heâd just have to waitâŚbut how much longer? He heard Karen return, shortly followed by the waitress.
Amid much giggling, Karen fed David his half of the sandwich. They were having so much fun, that he completely forgot about feeling helpless, and being self-conscious, knowing must be staring in their direction. She wiped his mouth between bites. French-fries were the easiest to feed him. A few times, she deliberately teased him, pulling the French-fry back before he could bite a piece of it off. She helped him sip water, which dribbled down his chin a couple of times. Being a nearly helpless invalid during the break was quite an enlightening experience, but both of them enjoyed the novelty of the role-play. They flirted with one another as they shared a little coffee after the meal.
Karen unwrapped a mint and popped it into Davidâs mouth. She let her finger linger a few seconds in his mouth, and he kissed it.