Be like a child.

I read today that between the ages 6 and 11 we are most ourselves, unswayed by "shoulds and shouldn'ts". During this time I had an "art studio" in my room. My studio was the top bunk of my bed. I had a ladder that I would climb to my sacred space and would require others to knock on the wooden frame before they were allowed in. Once I entered elementary school I taught "class" every weekend. I was very serious about it too! My mom would take me to the school supply store where I would buy dry erase boards and markers, make copies of worksheets, and create homework charts. My mom says I put sticky notes all over the living room too. I remember one time a mother got mad at me when I sent her 3 year old home with homework. Haha. When I got a little bit older I moved on to play house, made "roller coasters" by tying wagons to bicycles with jump ropes, and even used headbands, pipe cleaners, and wine corks to make headsets for the pretend drive-thru window in the driveway. I was always conjuring up games for the neighborhood kids... we had club houses, court houses, doctor's offices, you name it! I guess this means that my "perfect job" begins as an art teacher, but after I have 7 children I will decide to make a career change and work at a fast food restaurant at an amusement park. After that brief stint I will work in construction, setting up office spaces for different types of professionals. Yeah, that sounds about right.

Trust

"Trust in the Lord with all your heart
and lean not on your own understanding;
in all your ways acknowledge him,
and he will make your paths straight.

Do not be wise in your own eyes;
fear the Lord and shun evil.
This will bring health to your body
and nourishment to your bones.

Honor the Lord with your wealth,
with the firstfruits of all your crops;
then your barns will be filled to overflowing,
and your vats will brim over with new wine.

My son, do not despise the Lord's discipline
and do not resent his rebuke,
because the Lord disciplines those he loves,
as a father the son he delights in."

My soul wants to trust, but my flesh fights back.
The heart grows weary of seeking control, but the mind protests that this is just.
Close thine eyes to be lead by You.
Trust. Patience. Obey. Love.

"No one understands."

I slept horribly last night. No idea why, but I woke up at 3:30 am with thoughts, dreams, and schemes. I couldn't go back to sleep. Embracing my sleepless state, I did some work and prepared for my day. I had to go to the education building first thing to take care of my CPR training. That went smoothly except for when I got confused with infant CPR. The instructor confused me when she kept asking me what the next step was, when in reality I was supposed to continue doing the same thing I was already doing. Luckily, she was kind and not too particular with how long it took me to catch on. Then I went up to the 3rd floor which is orthopedics.

The nurse I shadowed is a new nurse who has only been practicing for a year. She got her bachelors from App State and then her nursing degree from John's Hopkins. She said her "plan" was to be an ICU nurse and then go to school to become a CRNA, but that she has realized she needs to quit making plans because life goes differently. She said she is casually applying for other nursing jobs, but isn't sure exactly what type of nursing she wants to do. She said she likes talking to her patients (this is why she has hesitated with CRNA), teaching, critical care, advanced practice, being a leader, and medicine. Sounds like me! She said that as long as she doesn't know what she wants to do, she isn't ready to commit and spend more money on school but that it definitely seems likes an option for the future. We talked about being a doctor vs. a nurse and how it is hard not being the one on the top of totem poll. In school, she was top of her class, smart, motivated, and a leader. She said that no one really understands what it is like working 12 hour shifts in the hospital and that it is hard to relate. I agree. It was really good hearing her voice all of this, because I was feeling like I was the only one. It is like you are in this time warp of busy-ness. Sure, in other jobs you work long hours, but with nursing every moment counts. You aren't given a task list that you can complete at your leisure. Feeling inspired to begin the write-up for your boss at 11:15 instead of 11? Go for it. Needing a lunch pick-me-up from McAllisters? Your colleague may join you. Need to make a doctors appointment? Definitely. In nursing, you can't do any of that. Patients call you during your one 30-minute break to have you wipe their butts. You can't say "no, sorry, I'll come back to you later." You go. If you need a "break" during your shift you go hide (still standing on already sore feet might I add) in the medication closet to try and get yourself together before returning to the floor, where calculating deadly dosages is somehow sandwiched between the roles of waitress and maid. You can't take time off to go get your teeth cleaned or mail that already late birthday package; all of your errands must wait until the next day when you aren't working. The idea of 4 days off sounds wonderful until you factor in that you spend that time recovering from a day of lost life. It's so weird! Sorry if this seems like a rant, I don't mean for it to, it just IS what it IS. I want to learn to adapt to this life, but at the same time I think I just want to work a 9 to 5 like the rest of the world.

Date!

Today I had a wonderful date... with my roommate Sarah Joyce! We got pedicures, had great talks, visited a garden/her boy friend's design project, and went to Good Berry's for frozen custard. Yum!

The only yucky part of my day was realizing that my CPR had expired, telling my employer, finding out that I could not come back to work until it was fixed, paying to take a course online, studying, taking (and passing!) the test, calling my employer, arranging to come in tomorrow to get the second half of the test taken care of. Yikes! I have to make a few phone calls tomorrow too to try to get everything squared away. I did not mean for this to happen.

Also, I feel like I have spent so much money today. I had to buy textbooks, renew my yoga instructor certification, buy new shoes, pay for CPR, and pay other bills. I have enough to pay for all of it, but there is still something about spending money that makes me uneasy. What a necessary evil it is! I want to trust in this area of my life.

Book

Today a nurse said, "we need to write a book with all of our stories." hmm.

Pooped.

Today I was free from my Nursing Assistant duties and got to spend the whole day with my preceptor nurse, Sara. For some reason I am exhausted today... I am not sure why either. I got to bed around 10:30, and woke up at 5:30, and my tasks today were easy. However, I was cold, tired, and wanting to be home alllll day. When I arrived to the house I jumped in the freshly cleaned shower (Sarah had bleached it, bless her), and stayed there for about 20 minutes just letting the water wash over me. I felt bad "wasting time" or water, but I needed it. I made breakfast for dinner and plan on going to bed VERY early. Of course I wanted to do some record keeping before...

Today I helped set up a tube feeding, emptied a Jackson Pratt drain, removed a foley catheter, hung IV's, assisted in teaching a spanish-speaking patient how to check his own blood sugar, and participated in a bedside chest tube removal and insertion. The chest tube insertion was the highlight of the day. A patient involved in a motorcycle accident a few weeks ago was admitted to the hospital because of fluid build up in his lungs. His wife, and himself were taking a road trip when a deer hit them. The two ate pavement, and the husband broke his ribs. He stayed in a po-dunk hospital for a few days and then was sent home. A few weeks later he was outside, felt a sharp pain, and was unable to breath. He was put to sleep while a chest tube was placed to help drain the fluid off of his lung. The drain had not been draining much, and the patient had a high heart rate with difficulty breathing. The main doctor, Dr. 1, said everything was fine, but my nurse, myself, and the patient's wife (a neonatal nurse practitioner) thought the patient appeared to be getting worse. He was pale, sweaty, and seemed to be in an increasing amount of pain. The nurse called Dr. 1 to voice her concerns, but he was un-phased. My nurse decided to call another doctor, Dr. 2, to come look at the patient. Dr. 2 did not like what he saw and called Dr. 1 and basically asked him why the heck he wasn't worried. Dr. 1 finally ordered a chest x-ray which showed the fluid had not decreased since admission. Dr. 1 decided he was going to put in a new chest drain at the bedside. All of the nurses scurried around to get everything for him, for they did not want to inconvenience the doctor any more [for doing his job.] Dr. 1 wouldn't give the patient any more pain medicine than he was already prescribed because he thought the patient had enough. Therefore, the patient moaned, yelled, and whimpered while Dr. 1 cut his chest and shoved a new hard tube into his diaphram. At one point the patient flinched so hard that his knee hit Dr. 1's arm, pushing the tube in even further. Nice, huh? Apparently surgeons are rather insensitive to pain because their patients are usually sedated in the operating room. Kind of ridiculous. The poor patient said, "the other patients are going to get scared. I feel bad." after the procedure was done.

Dr. 2 was a really nice man, and I overheard him telling someone how he won't let his children be doctors because of how much it takes over your life, and how he had missed seeing his children grow up. He said that each year he says, I will do this or that, but that he never can get away. He asked, "when will I have time for my wife, when I am pushing her in a wheel chair?" He said that in med school they tell you it will get better, but it never does. He did, however, say that he has made some changes and now only works 60 hours a week. That is crazy. I don't think I could ever do that. This is not the first medical professional that I have heard say they won't let their children go into medicine or healthcare. Interesting.

Another patient left Sara and I a sweet note when she left thanking us for our care. She said we were her favorite :) As she left she gave me a hug and said that she "felt like she knew me." This is the second note that has been received with my name mentioned. It does a heart some good.

Piano Playing

I almost find it aggravating how many touching moments I have had this summer because then I want to write them down so that I do not forget.

My patients speak such wise words... I find it both a blessing and tragedy that people often learn the most important truths about life when they are faced with death. For example, when a patient with only months left tells you: "I expect to hear you play a song on the piano this time next year", you know it is time to start dabbling on those keys.

Today I had a patient who began showing signs of ALS (https://health.google.com/health/ref/Amyotrophic+lateral+sclerosis) in April, and lays in her bed almost completely paralyzed today. I didn't talk to this woman very much, but the few conversations we had left my heart aching. She had no appetite, no mobility, a tube feeding into her stomach, immense pain, and a horrible prognosis. And she was only in her 50's. She has 5 children and 7 grandchildren, and the chances of her seeing another birth or wedding are slim. How do you cope with something like this? How do go from a full functioning life to having a doctor tell you that within months you will soon be unable to speak? Before I knew much about this woman, I felt compelled to pray for her. I didn't want to seem like a weirdo, so I did it silently as I set up her bedside table. I asked about her life a little bit, and she told me how her husband and herself used to travel as gospel singers. She said she was trained in piano and was about to start learning violin, but that the onset of ALS had kept her from picking it up. She told me, "see, you shouldn't wait to start doing the things you want to do, you never know when it could be too late." I told her that I had always wanted to learn to play the piano and she smiled saying, "well I bet I will be back here in a year, so when I do, I am going to expect that you have started to play." I nodded, half wondering if she really would be back, half wondering if I would ever actually try to fumble my way through a tune. I told her that my grandfather used to play piano, but that he had recently stopped. The woman told me to tell him to keep playing, and reminded me that one could never be too old to learn. I decided to go out on a whim and asked her if I could pray. What could it hurt? She graciously told me yes and opened up her hand for me to grab. After my short words, she thanked me, and quoted Philippians 4:13, "I can do everything through Him who gives me strength", emphasizing that He said EVERYTHING. She told me to continue to be strong and courageous in my offering of prayers, and to keep letting God use me like that. She shared that her husband was a docile man, but that he was a prayer warrior, always being asked to pray for people. (I met him later that evening and he was indeed a sweet man, rubbing his wife's sore feet. He had love written in his eyes. He was black and she was white.)

I don't want to wait until death to begin living. Why spend our entire lives working for a goal that may never be reached? Why not live our lives responding as the blessed children we are, open to receive from our Father.