basric: (ljidol12)
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Based on a true story.

Teresa had been a nurse for over forty years. Her husband had died ten years before; her son and daughter both married and out of state rarely came to see her anymore. Her life revolved around her God and her cats. She heated a meal in her microwave each night and sat reading her well-worn Bible aloud to her three cats.

A sixty-four she was a reed of a woman, but strong, her arms like bands of steel. Working as an RN on the oncology floor was her calling. She never wanted to be in charge, just take care of her patients.

One night at home while she read her bible, she dozed as she was apt to do; when the Angel came to her and gave her a message from her Lord. Her path was clear now.

The next night Teresa studied the board of patients trying to decide which patient needed her most. The oncology floor was not like it had been when she’d come to work on it twenty years ago. Then they had mixed chemo on the floor. Now it was done in pharmacy with specially ventilated hoods. Patients received their chemo on the oncology floor; now it was all done outpatient.

She sighed as she began checking her charts and trying to figure out the computer orders, something else new. Everything was always changing. Well, she fought it every inch of the way. While these young hussy nurses wore colored scrubs and scrubs with all kinds of patterns on them, their tight pants showing their underwear beneath and all colors of running shoes while she was still professional wearing her white dress, nursing shoes and cap. They called her a dinosaur. Maybe so, but now she’d leave this earth her Lord‘s champion.

At one in the morning the floor was quiet, nurses busy charting. The hallway was empty. She had made certain the patient was a do not resuscitate (DNR). The vial of potassium was in her pocket along with a syringe of normal saline. She slipped into the lady’s room locked herself in a stall and pushed the saline into the vial. She shook it until it dissolved, then withdrew it back into the needle. She flushed the vial and pocketed the syringe.

Mrs. Wright was a late stage lung cancer. She had been brought in from a nursing home with pneumonia and when cleared up would be sent back. Only Teresa knew it was her mission to assist Mrs. Wright to her heavenly reward.

No one was in the hallway when she entered the room, and her hands were steady as she pushed the lethal content into Mrs. Wright’s central line. Potassium burns like fire in the veins but a central line goes directly into the heart so the patient doesn’t feel the burn and call out. Like a specter she slipped out and back to her patients.

Mrs. Wright was found an hour later by her nurse. Since she was stage four cancer, had been in the hospital three days and was a DNR, there was no autopsy. No problem. Though even had there been any, since potassium is produced by the body, too much or too little wouldn’t have caused concerns of suspicious death.

The next night Teresa worked, Mr. Miller (who was a late stage Hodgkin Disease) received a lethal dose of insulin, yet another chemical made by the body. The severe convulsions he suffered before dying did not prick Teresa’s conscience because he was in a coma, so would not be aware of them.

Each night Teresa worked one sometimes two or three DNR patients passed. Some with, some without her assistance. And each morning Teresa read her Bible before she went to bed to her peaceful dreams with her cats curled about her. She often wished the beautiful Angel would return to her. She assumed it was because she was successful in the mission the Lord had set before her that he did not.

Teresa had been carrying out her mission for five years when a young mother came in with ovarian cancer. They were treating her aggressively with surgery, chemo and radiation but Teresa knew how much pain the young woman was going to suffer.

That next morning the Angel returned as she slept and gave her a even more challenging mission. Now she would need to watch for those of his flock who needed her help passing without suffering through long, debilitating diseases. The young woman was her first mission.

At her death, the autopsy was inconclusive as to cause, but due to her cancer, the surgery, chemo and radiation it was not ruled suspicious. The coroner saw what he expected to see. Yes, her potassium levels were high, but not unexpected in a chemo patient.

This night Teresa stood looking at the board, not aware she was also being watched. The charge nurse had been suspicious for months and had spoken with the floor manager. She was heartily laughed at with even the thought that Teresa was capable of doing something so monstrous--good grief the woman was in her sixties and a sweeter, more dedicated nurse would you never meet. Her patients adored her and other nurses loved to work with her.

Nevertheless she kept a close eye on Teresa all night. After being called to the desk for report, she went hunting for her and saw Teresa slip out of Room 820.

“What are you doing in there?”

Teresa jumped, her hands shook so she grasped them tightly and said a prayer for strength to her Lord, “I heard the IV alarming.”

The charge watched her walk away. She stepped into the patient’s room and discovered her in convulsions. Pushing the button for help, she was helpless to do anything, even as the room filled with help, but watch the patient die. A code was called but it was too late to help, the patient was gone.

Nothing out of the ordinary was discovered in the autopsy, but the charge nurse went over her manager's head to administration.

“I think we have an 'Angel of Death' working 8 South, the oncology floor.”

“Those are serious charges. None of these patients show anything suspicious in their autopsies.”

“They wouldn’t if she is using potassium or insulin. Our floor stock of potassium has been out of line for some time.”

The charge nurse was summarily dismissed with a, “Speak to no one about this, not even your manager or your best friend.”

Shortly thereafter; unbeknownst to anyone during a routine maintenance of the air conditioning vents cameras were hidden in the hallways of the floor. Patient rooms are off-limits due to privacy issues.

They waited until they had her coming from three patients' rooms...who died shortly after her exit...before the police came for her.

During her interrogation Teresa broke and told them she on a mission to ease suffering for the Lord, that his Angel came to her. The detective asked her how she knew it was an Angel from God rather than a demon from the devil.

“But he was beautiful.”

“That’s why they call him the Great Deceiver.”

Color drained from her face. She sat silent and thought. She refused to answer any further questions. The only thing she said was, “Someone please take care of my cats.”

In her cell that night she chewed through her wrist and her last words were written on the bare white wall in her blood, “I was seduced by the dark side, God forgive me.”

She is the reason potassium can no longer be kept on the Medical Center’s floors anymore. It must be mixed in bags in the pharmacy.

There have been Angels of Mercy since Teresa, but I don’t think any one as prolific. Insulin is still be used, but nurses are watched closer now. Most floors have cameras, you just don’t know they are there.

It bothers me that they waited. That two more people died because they didn’t come for her and push her after the first recorded death. Why did they need to die? Is there some quota requirement somewhere?

The charge nurse was a close friend, not me. The other thoughts from Teresa, I fictionalized from parts of her diary that were printed (and some not) in the local newspaper.

I don’t know what became of the cats.


Names were changed to protect the guilty and the deceased and their families.
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Date: 2011-05-09 03:41 am (UTC)
From: [identity profile] millysdaughter.livejournal.com
There is a minimum number of people that have to be killed before an intersection rates a stoplight, so I would not be surprised to discover that yes, there is a written quota somewhere for this as well.

Date: 2011-05-09 03:48 am (UTC)
From: [identity profile] basric.livejournal.com
Well I know for a fact research medications and procedures have quotas before they recall them, but this was beyond. Thanks for commenting.

Date: 2011-05-09 05:16 am (UTC)
From: [identity profile] creature-girl08.livejournal.com
In the past 20 years I have read of two such stories at different hospitals. My sister-in-law was part of implimenting such security messures at the hospital where she works.

Sad to think about the people who died but at the same time who knows? Only God really knows.

Very good entry.

Date: 2011-05-09 06:19 am (UTC)
From: [identity profile] basric.livejournal.com
Thank you.

Date: 2011-05-09 06:29 am (UTC)
From: [identity profile] ladyjudithanne.livejournal.com
This was a good read. I understand why Teresa did what she did. I hate to see people suffering but would'nt have the guts to go as far as she did.
Maybe I have a weird way of thinking and our time to died is up to the cruel god some people believe in.

Date: 2011-05-09 09:52 pm (UTC)
From: [identity profile] basric.livejournal.com
Its when she began killing people who my have survived their cancer that the problem really arises. Thanks for reading & commenting.

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From: [identity profile] ladyjudithanne.livejournal.com - Date: 2011-05-10 05:54 am (UTC) - Expand

Date: 2011-05-09 10:29 am (UTC)
From: [identity profile] theafaye.livejournal.com
Much as I'm pro euthanasia, doing it without consent is completely wrong. My mother had three types of cancer but fought for every second of breath right until the end. She would not have wanted any "angel" to cut short her time and who is anyone to tell her that she was wrong for wanting more?

I'm with you. It's the fact that they waited and let her kill even more people before they did anything that's a big problem. It's almost as though they agreed with what she was doing but couldn't be seen to condone it.

Date: 2011-05-09 02:16 pm (UTC)
From: [identity profile] sipman.livejournal.com
Sad & scary story. Well done luv

Date: 2011-05-09 05:31 pm (UTC)
From: [identity profile] basric.livejournal.com
You are kindness itself, thank you.

Date: 2011-05-09 06:51 pm (UTC)
From: [identity profile] imafarmgirl.livejournal.com
Holy shit. You have the best stories. This makes me never want to be in the hospital again.

Date: 2011-05-09 08:38 pm (UTC)
From: [identity profile] basric.livejournal.com
Thank you.

Date: 2011-05-09 09:56 pm (UTC)
From: [identity profile] lilyinchains.livejournal.com
What is chemo exactly?

Date: 2011-05-09 10:12 pm (UTC)
From: [identity profile] basric.livejournal.com
Chemotherapy-using poison to try and shrink or kill cancers.

Date: 2011-05-10 01:01 am (UTC)
From: [identity profile] team-jessie.livejournal.com
You sometimes hear about surgeons getting a God complex... guess nurses might get this "angel complex" too. Scary stuff!

Date: 2011-05-10 07:58 pm (UTC)
From: [identity profile] basric.livejournal.com
Not just nurses, there have been doctors, techs, home health caretakers.

Date: 2011-05-10 04:20 am (UTC)
From: [identity profile] joeymichaels.livejournal.com
One of my biggest fears is "what will happen to the cats if something happens to me?"

Not that I've ever been an angel of death, but that's something that would keep me from being one.

I'm in favor of informed assisted suicide, but emphasis has to be put on "informed" and not as in 'I am informing you that I'm about to murder you."

Date: 2011-05-10 11:28 am (UTC)
From: [identity profile] vaguelyclear.livejournal.com
Replace "cats" with "dogs" and that is one of my biggest fears, too.

and not as in 'I am informing you that I'm about to murder you."
LOL. Some people might appreciate that, though XD

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Date: 2011-05-10 04:29 am (UTC)
From: [identity profile] sharya.livejournal.com
Well written.

With her confession, it could have been stopped right away... but if she hadn't confessed, they would have needed a certain number of deaths to have been able to provide enough circumstantial evidence of a link, that it would have at least stood a chance in court. If the only evidence you have is circumstantial, then you need a whole pile of it.

Date: 2011-05-10 06:13 pm (UTC)
From: [identity profile] basric.livejournal.com
Yes I understand all that, husband a cop he 'explained' it to me in depth. Still. I'd have rather confronted her and and saved two lives and maybe scared her into stopping. They did find potassium vials in her apartment.

There is data from the FBI that says there are 20 to 30 of these angels of mercy are operating in the US at any one time. Another reason to fear leaving your loved one in a nursing home or geriatric floor in a hospital. There was even a hone health nurse caught "giving her patients peace that had no families and were in pain.

Date: 2011-05-10 11:26 am (UTC)
From: [identity profile] vaguelyclear.livejournal.com
I can't help but really love the detective's reply to her.

It's scary that this sort of thing happens. Kinda makes you want to never end up in a hospital or aged care.

Date: 2011-05-10 03:43 pm (UTC)
From: [identity profile] fourzoas.livejournal.com
I, too, am troubled by the waiting--evidence of the taking of one life should have been enough. Really chilling, gripping story!

Date: 2011-05-10 05:49 pm (UTC)
From: [identity profile] basric.livejournal.com
Thank you so much for taking time to comment.

Date: 2011-05-10 03:46 pm (UTC)
From: [identity profile] myrna-bird.livejournal.com
Oh so well done. I swear you have the arsenal of medical stories to be a lady Robin Cook! You write fiction, faction or fact-based fiction just as well as your usual trauma experiences with all the bllod and gore. Brava!

Date: 2011-05-10 05:48 pm (UTC)
From: [identity profile] basric.livejournal.com
You are very kind. Thanks for commenting.

Date: 2011-05-10 06:21 pm (UTC)
From: [identity profile] tamsheather.livejournal.com
chilling, made worse by the fact that it was true. Very well written. I really enjoy reading your hospital stories, albeit they are not stories but factual.

Date: 2011-05-10 06:23 pm (UTC)
From: [identity profile] basric.livejournal.com
You are very kind, thank you.

Date: 2011-05-11 01:22 am (UTC)
From: [identity profile] cheshire23.livejournal.com
So sad and unfortunate.

Date: 2011-05-11 01:24 am (UTC)
From: [identity profile] basric.livejournal.com
I think so, too. Thanks for commenting.

Date: 2011-05-11 01:34 am (UTC)
From: [identity profile] pixie117.livejournal.com
It's terrible that others had to die before an investigation was brought on. Seriously, what if that was my loved one killed? That's just not right. :(

Date: 2011-05-11 01:36 am (UTC)
From: [identity profile] basric.livejournal.com
I agree, but circumstantial and all that. Still if the family's of those two others had known, they'd have sued the Medical Center and anyone else involved.

Thanks for taking time to comment.

Date: 2011-05-11 02:36 am (UTC)
From: [identity profile] beldar.livejournal.com
On top of the numbing horror (really glad MY chemo was outpatient and I was only Stage II) I really feel bad for the cats.

You hear about these cases but they're like episodes of Law & Order in which yeah, it's based on real stuff but it's not like you *actually* know of it going on. Gotta be something else to know a case like that (almost) first-hand.

Date: 2011-05-11 02:41 am (UTC)
From: [identity profile] basric.livejournal.com
Hopefully you are far into remission. I worried over the cats, too which is why I ended with not knowing what happened to them and how traumatic being in a pampered environment to probably go into the shelter and separated. )=

Thanks for commenting.

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Date: 2011-05-11 03:09 am (UTC)
From: [identity profile] lawchicky.livejournal.com
It's hard to believe that someone could get away with that many murders even by covering her tracks. How awful!

Date: 2011-05-11 02:43 pm (UTC)
From: [identity profile] talonkarrde88.livejournal.com
Sounds like criminal negligence to let her kill more people when you have definitive proof. Even with the idea that you need to build a case, one direct camera feed should be more than enough to convict.

Date: 2011-05-11 06:02 pm (UTC)
From: [identity profile] basric.livejournal.com
I'm told one is circumstantial. She could stick to the story of fixing an alarming IV pump--three establishes a pattern.

I'm with you and not the law one of those three was a 24 year old man with prostate cancer who was to have surgery to remove it. He had a hard road ahead, but he could have lived a long full life.

Date: 2011-05-11 05:34 pm (UTC)
From: [identity profile] nyxocity.livejournal.com
When this season is over, I think you should collect the best of these stories and combine them into a book to shop around for publishing. They're all incredibly interesting and surprising.

That said, I'm okay with helping people pass if it's done with consent. Any other way is not okay. I get that they had to build a case, but it seems so negligent to let two more people die after having one confirmed death on film.

Date: 2011-05-11 05:40 pm (UTC)
From: [identity profile] basric.livejournal.com
You are very kind, but I don't think it would go over very well. Like trauma show on television--people just don't want to know about them. ABC had the show TRAUMA last year that bombed . It was very realistic. And even though they dialed it back a lot, people still didn't watch.

Doled out one a week is not so bad but a whole book is daunting. I thank you though.

Thanks for commenting.

Date: 2011-05-11 08:15 pm (UTC)
From: [identity profile] java-fiend.livejournal.com
Really strong story. I've read stories about these Angels of Death and though I do believe in assisted-suicide, taking it upon one's self to end somebody's life is just wrong on so many levels. I do hope that "Teresa" was appropriately punished for her crimes. Well done.

Date: 2011-05-11 09:49 pm (UTC)
From: [identity profile] basric.livejournal.com
Since she killed herself I'm not sure if her punishment was fit for her crime but she saved the state a lot of money. And since 'An Angel from her Lord' told her to do it she probably would have gotten off with a 6 month stay in a mental institution had she lived.

Thanks for commenting.

Date: 2011-05-11 08:16 pm (UTC)
From: [identity profile] mstrobel.livejournal.com
Wow, that was absolutely gripping!

Date: 2011-05-11 09:45 pm (UTC)
From: [identity profile] basric.livejournal.com
You are very kind, thank you.

Date: 2011-05-11 09:12 pm (UTC)
From: [identity profile] xo-kizzy-xo.livejournal.com
Fictionalized or not, this is frightening. If I ever have to be admitted again, I'm now going to be on the lookout for an older nurse in white wearing a cap :shudder:

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Date: 2011-05-13 01:19 pm (UTC)
From: [identity profile] havers.livejournal.com
Very moving one. I need to read one more of your LJIDOLs to be updated.

Date: 2011-05-15 09:52 pm (UTC)
From: [identity profile] similiesslip.livejournal.com
Creepy...but I know it has/probably will happen. I feel sad for her. She did not make good choices but I bet she was very lonely.
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