About Jacob Molyneux, senior editor/blog editor

Senior editor, American Journal of Nursing; editor of AJN Off the Charts.

The Grief Train

Then came “the Morning.” There was coffee, the newspaper, and ironed shirts. I was getting ready for a student’s dissertation defense and Paul, my husband, faced his own challenging day. As I prepared to shower, a crash sounded beyond the bedroom door. Something about the silence that followed made me grab my robe and go running.

GriefTrainIllustrationThat’s a teaser paragraph from AJN‘s October Reflections essay, “The Grief Train,”  by nurse, professor, and award-winning author Cheryl Dellasega. She writes about teaching a course called Death and Dying, and then having to try to make sense of a sudden, terrible loss in her own life. Like many profound American stories, this one ends in a long train trip.

I edit this column every month, and some of the stories go right to the heart of life, love, death, health, illness, healing, human connection and disconnection. The essay is free, so please click on the link above and read the whole thing. It’s well worth five minutes of your time.—Jacob Molyneux, senior editor

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They’re Not Taking Away Our Puppies (And God Help Them If They Do)

By Jacob Molyneux, AJN senior editor/blog editor

I am amazed at the amount of time being wasted on the relatively mundane matter of health care exchanges. It seems we are now facing a government shutdown; there are creepy and misleading advertisements funded by conservative billionaires like the Koch brothers in order to scare people from signing up for insurance; some red states have actually enacted laws forbidding the health care navigators from helping people understand the new system and sign up for it, and many of these states have refused to create their own exchanges to help their citizens comply with the new law.

The ACA is a law. You can’t just ignore it if it doesn’t meet your personal preferences or political ideas. Given the heated rhetoric the Republicans are trotting out about it, you’d think the government was trying to take away our puppies, instead of implementing ideas originally floated by Republicans themselves to make life a bit easier for millions of Americans whose life decisions are unduly ruled by crazy health care billing practices, byzantine insurance regulations, discrimination against those who have chronic conditions, insanely varying pricing for simple tests, and the like. […]

A Breath of Fresh Air, Relatively Speaking

By Tara Duffy, RN. Tara is an RN at Strong Memorial Hospital in Rochester, NY, where she works in the Wilmont Cancer Center. 

I hear it, taste it, smell the construction to my left as I walk into the hospital. It is a sight for sore eyes—as in causing them, not soothing them—so I try to pay it little attention.

Her smile catches my attention. I have not seen it in weeks.

“I hear you got outside today?” I ask.

by utahwildflowers/via Flickr by utahwildflowers/via Flickr

The smile widens as I write my name on the whiteboard. She is a vibrant woman, full of life yet dying to be home.

“I did . . . it was greeeeaat,” she sighs.

I instantly envision the hospital surroundings—smokers circle at one exit, construction on the opposite.

“Where did you get to go?” I ask, hoping to learn of some hidden gems beyond these doors.

“Right out front,” she responds, matter-of-factly.

The construction site, I think to myself, instantly dismayed.

“It was sooo great.” Her smile surfaces again.

I suddenly realize she is speaking in relative terms.

“Just that fresh air,” she pauses as I envision the filth and ruckus, “was soooo nice.” She exhales deeply.

My smile widens with hers. I am instantly humbled. I manage an “I bet.” […]

Chemical Attack Response, Posts for Nursing Students, Ethical Agonies, Blog Carnivals, More

By Jacob Molyneux, AJN senior editor

You’re working in the ED of a 300-bed metropolitan hospital one Sunday morning when you receive a radio transmission from a paramedic whose ambulance is en route with a casualty of a suspected nerve gas attack. The paramedic reports that two additional ambulances are also on the way. Nerve gas? You’re stunned. What should you do first?

quinn.anya/via flickr creative common quinn.anya/via flickr creative commons

That’s the start of our 2002 article (free for a month, until October 5) about chemical attacks and their aftermath. Such an event is not an impossibility here in the U.S. Remember the 1995 attacks in Japan, in which sarin gas was released at several points on the Tokyo subways by members of a radical cult, killing 12 and injuring thousands? And there is now convincing evidence (not to mention horrific photos of the many children killed) that the Syrian government used nerve gas on its own people last week despite widespread prohibitions against its use. In fact, USA Today reported that a number of the nurses and physicians who treated the victims of the gas attack may have subsequently died themselves from exposure to the patients’ clothing and skin.

Our 2002 article describes how nerve gas works on the […]

The End of a Blogging Era?

By Jacob Molyneux, senior editor/blog editor

EmerblogScreenshotFrom August 2005 until August 2013, Kim McCallister ran a blog called Emergiblog, one of the first nursing blogs to gain a certain prominence among nurses on the Web. She told it like it was in her corner of the nursing world, and you didn’t have to always agree with her opinions to embrace her honesty and directness.

If I recall correctly, Emergiblog was one of the three exemplary nursing blogs mentioned in a lunchtime presentation given at our office by health care journalist and social media wizard Scott Hensley. (Hensley is now the writer and editor of the National Public Radio health care blog, Shots.) His excellent presentation, itself given I believe in the form of a newly created blog, gave me just enough know-how to be able to create and launch this blog from scratch on WordPress. […]

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