Category Archives: nurse

On this, the first day of 2013 …

After The Storm

I haven’t left the house other than to walk to my mom’s for some sausage balls and homemade chocolate chip cookies left over from last night’s New Year’s Eve celebration.  But not leaving the house on such a dreary, rainy, wonderful day doesn’t mean that I haven’t accomplished anything.  I did a lot of thinking.  I thought about taking my Christmas tree out today.  Since it was, however, so rainy, cold and dreary outside, I decided I could handle looking at the lights for one more day.  I’m going to miss that beautiful old tree when it’s gone, but nothing can go on forever and while I love the tree, I have missed the view out the window.

Besides thinking, though, I got many things in the house done.  General cleaning, straightening and taking stock of my pantry.  It seems that I have some baking soda, a few bottles of spices and a bag of flour.  Not conducive to cooking anything of any substance.  I’d like to try to get back into cooking, otherwise, I may have to break my cardinal rule and eat a hot pocket.

Besides coming to the conclusion that there is no truly edible food in my house, I’ve been getting my hiking gear oiled and cleaned, ready to get back to weekends in the mountains.  I am confident that when I see the Orthopedists in a couple of weeks, he will clear me to get back to the trails and hard places that I love to go.  I was complaining a few days ago about the belligerent 9-year old I had to wrestle into submission in order to obtain a flu swab, but I think he did me more good than harm.  I actually believe he helped put that pesky, out-of-place bone back where it belongs.  Guess I owe the brat a thank you.

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I cannot even voice how much I miss nature, the mountains, the rocks and trees, the waterfalls, the arduous climbs and the smell of the earth in every season.  So far, I have missed Winter completely, but lucky for me, Winter really only officially began a few days ago.  I long for the bare branches of the trees as they stand sentry over a barren earth, biding their time until she blooms again, bringing forth life and a different kind of beauty.  She calls to me; Mother Nature, that is.  She calls to me as the light changes, shifting over the mountains, shadows forming and dissipating almost in the same moment.  I long for the adventure of what I will find at the top of the next hill, around the next turn, behind the thunderous sound of water falling for hundreds of feet.  I dream of standing alone with nothing but the glory of nature surrounding me and find myself nearly trembling with anticipation to get back to it.

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While I have been out of commission, I have exercised at home, keeping my legs and thighs strong and ready for the hikes and climbs that I so dearly love.  Yes, in a couple of weeks, I think I will be able to stop those mind-numbingly boring, in-home routines, strap on my heavy backpack without feeling like my shoulder will detach itself from my person, grab my tripod and head out with my trusty Pentax to see what I’ve missed while I’ve been gone.  I wonder if  my favorite places have missed me as much as I’ve missed them.  I’d like to think so.

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If you’re too sick to go to the doctor …

you probably have the flu.  It is that time of year.  Actually, it’s a little early, meaning that the season will be in full swing by the time everyone starts traveling to visit with family and friends during Christmas.  There will be many who will have a fever and feel as though they have been beaten nearly to death with a hammer, but will travel anyway because, hey, Great Aunt Ethel will be disappointed if she doesn’t get the pair of socks they spent two minutes picking out.  They will hack and cough, sneeze and sniffle, wipe their eyes and forget, at times, to cover their mouth, touch everything and leave their germs behind for dozens of others; kind of like paying it forward, but in a bad way.  Unless they are walking around in a bubble, they are going to give it to many unsuspecting people, who will in turn, give it to many other unsuspecting people.

Imagine yourself on a plane, closed in with a few hundred others, a third of whom may have or have been exposed to, the flu.  Breathing the air, touching the surfaces.  There isn’t enough soap or hand sanitizer in the world to protect you.  Now imagine yourself on the subway platform with all the same scenes.  Now imagine yourself on the train, or at the rest area, or in a restaurant, or at the mall … I could go on for pages, but first, multiply the  above by a hundred thousand or so.  If you or someone you know hasn’t yet tested positive, just give it a little more time.

The flu virus can live outside the body anywhere from a few seconds to 48 hours and on your hands for about an hour.  The vaccinated have a better chance of avoiding the flu than the un-vaccinated, but there are no certainties either way.  It is important to wash your hands or use sanitizer between every contact with every surface.  Will it make you feel like the skin on your hands is going to fall of?  Of course.  What can you do about it? Use lotion.  That will make  you even more susceptible, but at least your nails will look good.

Jesus is the reason for the season, but flu is the reason for the sneezin’.  Try to stay well everyone …

Life …

is a continuously unfolding journey.  For twenty five years, I have been working as a nurse.  It feels odd to say that as I don’t really feel old enough to have done anything for twenty-five years.  In the beginning, back in the day when nurses still wore hats, I already had a truckload of baggage to carry.  Painful and distressing things that, at times, threatened to destroy the very life I was trying to make for myself.  I had so little to offer the people that I came into contact with for I was so broken and so very vulnerable.  Vulnerability is a handicap.  I know that  it has its place in the perpetual turning of pages, but it makes it no less difficult.  As I sat and listened to the fears and sorrows of patients I came into contact with, I wanted to help them.  I wanted to reach out to them, to comfort them with gentleness and compassion; to tell them everything would be right with the world again.  My problem was that I didn’t believe it and when people have hit the bottom of the world as they know it, they can spot a fraud a mile away.  I wanted to believe it, but so did they and because of that, I could not help them.  I could not comfort them, I could not share any part of myself because I simply didn’t believe that, through my brokenness, I could make a difference in their lives.

As years passed and God continued to refine my life with experiences that were so full of beauty and sorrow and disappointment and pain, something inside me began to change.  A new vision began to emerge.  With each life-changing moment that I encountered, I found that, once I came out the other side, there was both less and more of me.  I was still vulnerable, still insecure, but somewhere along the way, strength began to build inside me.  I began to relate to people on a more personal level, to be able to look them in the eye and try to comfort them with what was born in my heart from my own experiences and know, even as I was saying it, that I could trust it; that the patterns of my life had shifted yet again and an understanding that I simply couldn’t share before began to take shape.  I found that I no longer looked past their pain so I wouldn’t have to share mine, but faced it head on.  I held the hand of a woman who had lost her husband and two sons in a car crash and we cried together.  I hugged tightly the man who just found out his wife of thirty years was dying and he shared his sorrow with me.  I touched the face of a young man who had tried to take his own life and I felt as though I knew his thoughts, for in my own head, the same thoughts had circulated.   I’ve taken so many of them home with me.  I hear their sobbing, see the disillusionment on their face, feel their sorrow in my heart; I pray for them.

This time of year is difficult for so many people.  Those who dread the long days and empty nights, the thoughts and imaginings that seem to come unbidden even as they watch the celebrations going on around them.  They plant a smile on their face, a smile that never reaches their eyes, and try to be part of what is going on because the other choice is just too painful.  Sometimes it is easier to deny that we have pain in our heart than to share it with others.  It’s everywhere.  The worry, fear and anxiety that comes when the rest of the world is coming together in fellowship and joy, celebrating life and happiness.  It is so easy, at this time, to forget to be true to ourselves.  To let the memories flow, the sorrows burst through, the pain shatter again, even if only for a moment.  Without the purging there can never be healing.  And well, for those of us who are vulnerable and so easily hurt by words and actions, it is a bit more difficult.  But nothing lasts forever.  Not sorrow.  Not happiness.  Not youth.  Not life.

When all is said and done, this is the only life I have to live and while it may be imperfect in so many ways, there are moments that are so beautiful that they take my breath away.  It is these moments that I cling to when I feel that there is no one who understands me.  I remember the people I have cried with, the ones who have shared their burdens with me and it brings me comfort to know that even though I am vulnerable, I am not alone.  The world is full of us and sometimes, just having someone to listen and know, that as they listen, they understand, is as close to a miracle as we can get.  Let what you’ve done and what you’ve experienced help to define you in some way, but don’t let it consume you.  There are people who need to know that you have been there and that you can relate to them.  Our lives decorate the lives of those around us even as they decorate ours.  This year, during the “season of giving”, give what only you can; a little piece of yourself.

What on Earth …

happened to your face?  I can see the question in their eyes even as they cast quick and surreptitious glances in my direction.  But they never actually ask it.  They simply stare, amazed at the disfigurement and damage on someone’s face.  The face.  The first thing, unless you’re a pervert, that one notices.  It is either the eyes, the mouth, the shape of the chin.  It is human nature to see and analyze a face in mere moments.  There is an immediate response that says good, bad, friendly, sweet, ugly, beautiful, distrustful, untrustworthy, hot, homely, dirty, weird, sneaky, seeking, loving, sad, angry, hurt, happy, joyful and a myriad of others.  There is no point in denying that I have done the same; wanted to know what had happened to cause something, some disfigurement, but was too afraid to ask.  Afraid of all manner of things; confrontation, ignominy, silence, isolation.  But no more will I be afraid to ask because in this place of disfigurement-induced  insecurity I speak of, I have recently visited.

Three days ago, I was walking from my house to my parents’ house (they weren’t there, but my sister and brother were.  My brother is my sister’s husband.  I don’t have a blood brother, but if I did, he would be just like Chris.  But I digress).  I didn’t realize as I was “gawking along” ( as Granny Minton would say), that my sister’s Bassett pups were around.  I would most definitely have paid more attention.  What happened is this; I tripped over one of the pups and,  as it befell so fast and not having adequate time to throw arms out to brace my fall, fell, face first onto the gravel driveway. (the pup, by the way, was unharmed)

I was certain, as I immediately began to feel the blood pour (and knew that if I saw it, I would faint dead away), that my nose was broken and likely some teeth were missing.  I went into the house and freaked my sister and brother out.  I was a mess and I was very afraid that I was going to be sick just thinking about it.  Funnily enough, after I rinsed with water, the nurse in me took over.  I knew when I looked at the gash between my eyes that it needed stitches, but I, being as nurses are (stubborn and self-sufficient to a fault), thought I could just throw some Steri-Strips on there and be good.  Luckily for me, I couldn’t find my stash and my sister, bless her soul, drove me to the ER.  Five stitches and close to a third of the skin on my face in a clean line from mid-forehead to chin later, I am wondering what the heck happened and know, without doubt, that God protected me from more serious injury. I know with absolute certainty that it could have been much, much worse.

A few people did ask and I was relieved to know that there were people who look at my face and wonder what happened; then ask.  It usually brought a bit of sympathy with a dash of humor.  I don’t hold it against the pup.  She was just doing what she does.  But the next time I want to know what happened to somebody, I’m going to ask them.  The worst they can do is tell me to mind my own.  I don’t want to be only a bystander.  I want to be a part of the humor, the pain, the embarrassment, the insecurity and in the midst of all that, I hope to be, on some small scale, an encouragement.

When you curse at your nurse …

be prepared for the consequences. This isn’t about photography or trail shoots, but about life and the small world of medicine that we live and work in.  It’s no secret who has the doc’s ear, who is able to plead the case of patients and try to maneuver things so that everybody wins.  It’s no secret who holds the keys to the daily schedule and can give the ok for an emergency overbooking or manipulation of said schedule to accommodate someone with a need.  It is also no secret that the doc will, most times, back up their nurse and take their side in the event of conflict.  That being said, there are few things that people should know:

The nurse sees you before the doctor so whatever you tell us, we will relay.  It doesn’t matter what the circumstances are, the nurse is the go-between.  When someone calls into the office to speak directly with doctor, it is the nurse who talks to them and relays the information and works to see that all needs are met.  The nurses are the ones who work diligently to see that medications are approved by insurance, that specialist visits are scheduled, that vaccines are given and medications are refilled to the pharmacy.  It is the nurse who will call after a couple of days to make sure the problem is resolving and that no further action is required.  The nurse, again, who will help put folks at ease during procedures or counsel them on things that may otherwise be confusing or daunting.  (sometimes physicians speak a language that sounds very little like English and quite a bit  like Klingon)

The nurse will ensure that you get what you need from your visit and smile and make you feel as though you are the only patient on their agenda that day (at least a good nurse will).  They will go above and beyond to meet the needs of their patients and are willing to go an extra mile to make the patient feel as though their particular needs are important.  They give out stickers, suckers, school excuses, work excuses and a wide variety of things that are needed but things the physician knows nothing about because their job is to treat.  A nurses’ job is to nurture and show compassion, empathy, sympathy and love, to be a listening ear and a caring heart when one is needed.

Now that all of this information has been processed, there is one additional thing that needs to be taken into consideration.  If a patient mistreats by cursing, attempting to strike or being otherwise verbally abusive to their nurse, there is only one thing they need to remember; without the nurse to run interference, they are on their own.  If the nurse isn’t on their side, they don’t have a prayer because as the first paragraph of this blog says, the nurse has the doctor’s ear.  Might be good to remember that.   When someone is mean, hateful and abusive to their nurse to the point that the nurse cries, that someone is screwed.  So whatever it is that an abusive patient wants or needs,  they need not bother asking the nurse but instead, take it up with the doc and see, at that point, just how far they get.

I dedicate this post to nurses everywhere. Stay strong, keep your cool and be encouraged.  Don’t let the bad apples ruin your day because bad apples are as much a part of medicine as flu shots.  Today, for me, was full of bad apples but tomorrow is a brand new day and I plan on taking my apple corer with me in the future.