Friday, September 8, 2017

Through the Cracks

I work with cancer patients. 

"Oh, wow. That must be really tough"/ "It takes a special person to do that" / "I'm sure that's depressing and really hard" /  "How often do you see people die? How do you deal with that?" 

You know, it is really sad, but I've gotten really good at leaving work at work. Even though my commute is really long, sometimes it's a good thing cause I can get it all out before I go home. Compartmentalizing and having a dark sense of humor is a big part of being able to deal with depressing stuff......

Then the conversation moves on.

So many days this is true. I don't feel a need to debrief after work or get extra emotional support or even think about what happened at work yesterday. I heard someone say that in order for healthcare workers to survive, they needed to form a scab to keep from having a continuously bleeding heart. I don't think that's true. I don't think you need to be callous in tough situations, but simply have a good support system and an ability to leave work at work. (This is in part why I don't blog as specifically or frequently.)

Then, every once in a while, something slips through the cracks.

A patient opens their eyes to look at their family just moments before they pass....

I see the results of the scans and then look into the eyes of someone who had been perfectly healthy and know that they only have weeks left.... And I try to smile....

Long talks about legacy and what truly matters most.....

The people who are so brave.... Most of the time they're being brave for the ones they love....

Image result for water through hands

In the grand scheme of things, these are little things. But they feel like big things. There are the stories of hurricanes and floods and earthquakes and fires and rumors of wars, and it feels like the end times, but it's still the one person that I kneel beside and whose hand I hold that gets to me.

As a proud type A personality, I try my best to plan and organize and lead and motivate and control. When something slips through the cracks, my reaction is to do something... anything....I desperately look around and try to find something that I could possibly control... Could I find a cure? Could I change policies to make it better? Could I go to a flood ravaged Texas and fix something? How can I influence people? How in the world could I do something that matters?

Finally, after the cracks get bigger, after flailing around looking for something to control, and after spending far too much brain time and stress on tiny solutions for huge problems, I am reminded by a song on the radio and a verse in my daily reading that there's Someone who has complete control.

He's got it.

Psalm 65: 7-8
Who stilled the roaring of the seas, the roaring of their waves, and the turmoil of the nations. The whole earth is filled with awe at your wonders; where morning dawns and evening fades, you call forth songs of joy. 

Proverbs 16:3, 9
Commit to the Lord whatever you do, and He will establish your plans.
In their hearts humans plan their course, but the Lord establishes their steps. 


Caring is good. Letting something through the cracks that affects you isn't a bad thing. Looking for ways to shine the light of Jesus when it feels dark is something I want to continue for the rest of my life. Nevertheless, I can trust and hand control over to the Sovereign God who knows all and is all powerful. And that's the best thing.

Friday, August 11, 2017

Commuovere (v.) Italian

Commuovere (v.) Italian.
Heartwarming, something that stirs and moves you

Hello all! I just got back from a two week whirlwind trip to Europe. It was absolutely amazing. There is so much I could post and talk about including food, money, weird European quirks, history, art, culture, travel, etc. But what I want to share right now is what I experienced the last day- our travel day.

It's kind of a long story, and I wish I could tell it to everybody in person with dramatic gestures and all the gusto it deserves, but I can't, so I'm sharing it here.

Background: I found out that we needed to get home on the day after the Harry Potter play in London. The only way I could really find that that feasible was to catch a ridiculously early flight out of London the next day to Dublin. Our second flight would take us directly from Dublin to Chicago. However, there was only a roughly two hour interval between when we were supposed to land in Dublin and when we were taking off for Chicago. I thought we could make it, but out of everything I planned for the trip, this is what stressed me out the most.

Wednesday (the last day in London and the day of the show):  I tried to check into both of our flights.The flight home was giving me problems. The website for the airline wasn't working with me, so I decided to try it later. We went to the play (it was exceptionally magical), and in the break between we were at dinner, and I tried to check into the flight again. It wouldn't work. The flight confirmation number wasn't correct, the website was giving me problems, my phone battery was dying, the wifi was sketchy, and I was thoroughly frustrated. I didn't want to call the airline because international calls cost a lot, so I was messaging my dad for advice. It just didn't work.  We get out of the play, it's still not working, so I give up for the night. I'm tired, it's late, and I have to get up in 4 hours. I decided to try again in the morning.

Thursday- the day of the flights: After 3 hours of sleep, we check into our first flight.  Overnight, my dad had found the correct confirmation number (thanks Dad!) and I tried to check in. I go through all of it, and it tells me that the airport will not accept a mobile boarding pass.  I go to every station and shop in the airport asking if someone would let me borrow a printer to print out the passes. Everyone sends me to someone else, and I have no luck. I am pretty tired at this point and at the end of my rope. I shed a couple of tears. Eventually, it's time to board our flight, so I tell myself it'll be ok.

We board the first plane, and they tell us there'll be a 15 minute delay to wait for late passengers. I tell myself it'll be ok. Then there's an extra bag on the flight, and the ground crew is trying to find it. I'm kinda freaking out as the minutes pass by. 40 excruciating minutes after our flight was supposed to leave, they announce that they have to take all of the bags off of the plane to individually scan them to find the extra bag.

I lose it. I am sleep deprived, frustrated, stressed, and ready to go home. I start to cry. A lot. It was a straight up meltdown.

An Irish mum in front of us sees me crying and tells the flight attendant to check on me. The attendant comes over and asks if I'm ok, and listens to our predicament. She asks for our flight information and goes and talks to the captain. She comes back and says that they phoned ahead of us to tell the airline that we're coming. She reassures us and is extremely kind. We eventually take off and land in Dublin. The flight attendant comes back and says that the captain phoned and asked if an airline representative would meet us at the gate to help us. She tells us the terminal and the gate to help us. The flight crew lets us leave the plane first to get a head start. The captain and first officer encourage us and wish us luck.

Unfortunately, our flight was in another terminal which required us to check out, leave the terminal, and check in all over again into a new one. We take off our flip flops and start running until we hit the customs line. It's long. My heart sinks. A passenger who had heard the whole thing comes up behind us and says, "you got to go! Ask them to let you pass!". I approach people in line, tell them we're trying to catch a flight, and most of them let us in front of them before we could even finish our story.

The entire line lets us go by.

We start running again, barefoot, with our backpacks, through the airport to the next terminal. We reach the airline check in, and the lady tells us that check in for our flight has closed. It has been closed for 20 minutes, and we need to go and reschedule other arrangements. Although there's still time until our flight, the customs line is too long and there's no way we could make it. I hope you can imagine my disappointment.

Dejectedly we walk to the airline desk and talk to the representative. He picks up the phone. He gets our boarding passes printed. He tells us to go straight to the counter and pick them up and that we still might make it.

We get into the line for the counter, but another gentleman from the airline comes up to us. He had been leaning up against the desk and saw us waiting in line. My family has named him "the Ginger Angel". He puts on his neon vest and moves us to the front of the line. He then tells the lady at the counter that he'd personally see us all the way through.

This wonderful Irish man walks us through the airport. He fast tracks us through security and then lounges against the machine while we put our bags through. His legs are so long that we're half jogging to keep up with him.

What I didn't realize was that our flight required pre-clearance into the U.S. This meant that all of the security happened in Dublin instead of the States. I thought we were done after one security line, but we ended up having to go through multiple lines, putting out stuff through the scanner multiple times, and showing our boarding passes and passports a total of 6 times. I don't even know what all of the lines were for. Our Ginger Angel escorted us through every line.

We made it into our terminal with 35 minutes until our flight (absolutely unbelievable.) And we were quickly walking the long walk to our actual gate. Someone (I don't know who she was) came up to us and asked us if we were going to the Chicago flight. She then told us that we needed to run. Off came the flip flops and we ran again to the gate which was about to close. After showing them our passport and boarding passes AGAIN, we were finally allowed to board the plane. I started crying again, this time out of gratefulness as I realized how many people had been so kind and allowed us to make the flight.

Wow that's a long story. And it has absolutely nothing to do with Europe. However, it was one of my most memorable parts of the trip. I see now that if everything had gone exactly right and according to my plan, we never would have made it. There is absolutely no way we would have made it through those lines without help. If my confirmation number had been correct, if my phone battery was full, if I had checked in the day before and had boarding passes printed, we would have missed the flight by hours. If everything hadn't gone wrong, I wouldn't have cried. And the flight attendant wouldn't have called. And the first class passenger wouldn't have encouraged us to ask the people in line if we could cut in front. And we wouldn't have talked to the airline desk worker. And the Ginger Angel wouldn't have been there to personally escort us through the lines. The kindness of literally a hundred strangers helped us make that stupid flight.

What's the big deal? It's just two girls catching a flight. If we had missed it, we would have made another one and gotten home some time later. We'd deal with the inconvenience and move on. It happens all the time. It's a really long and dramatic story about making a flight.
But I felt the kindness of strangers. And I realized that my 'plan' was completely flawed and never would have worked. I don't want to assume I know God's plan or think that he messed up the confirmation number and my phone or the mobile boarding pass issue. And whether this was God working it all out so I could catch a flight or not, I know that I could learn from it and share what I learned.

People are still kind. People are still generous. I am a planner and like things to go according to my plan, but even the best laid plans can still not work out. It's ok when they don't work out. I'm not saying that everything will work out better in the end every time, but my plans are an infinitesimally small part of a huge plan that is created by someone a whole lot better at planning than me. And that is a good thing.

Thanks for reading! I'll try to post a highlight reel of Europe soon!

-C-




Saturday, July 1, 2017

Fight or Flight

    A couple of days ago I started writing a blog post that listed everything wrong I have found in the healthcare system. I got up on a soapbox and started ranting about everything from the hospital cafeteria to the way the dying are treated. I had almost finished, but then I took a break and read my own post. What resulted was my immediate deletion of the entire post. It felt wrong. It felt judgmental from someone who has no business being judgy. I then wrote another post listing fascinating facts about the human body. I might actually post that one on a rainy day, but I didn't feel inspired. The reason you're being subjected to my inner ramblings is that I realized that the reason my first post was so terrible was because I was being a coward. I was whining and complaining while doing nothing about it. I was blaming the system for all of these issues while trying to separate myself from that very system. My reaction to the frustration that I was feeling was to begin a tirade and then feel like I had done my part and could be done with it.

That was my flight reaction.

I think that I've got at least a little bit more figured out now. Not a lot, but just a little. Instead of placing blame on the system or the administration or the culture we live in, I can find ways to fight back. Not like..actually fight... but do something instead of just saying something. Since I only came up with this about 24 minutes ago, my list is rather small.

1. Stop leaving all of the educating until the patient is discharged. Use my 8 hours with a patient to teach and make sure they understand what is going on.

2. Ask questions during unit council and take action on issues that bother me.

3. Start researching palliative care and complementary care and how they are effectively implemented in hospitals.

4. Stop gossiping.

5. Learn more. Think more. Engage more. Do more.

6. Stop letting the system get in the way of caring and common sense. Be an advocate.

That's all for tonight folks!
-C-

Saturday, May 20, 2017

Peristaltic Pyrotechnics

5:15am alarm


Getting ready for.....


Arriving and realizing that you're working with all of your favorite coworkers


Looking up a good patient assignment


Or realizing it's gonna be a rough shift


Trying to get report before coffee


Convincing your confused patient to take their medicine


Trying to carry everything you need into a patient's room


Charting+phone calls+Doctors+Call lights


Snack in the break room


So. Many. Call. Lights. 


Trying to understand the doctor's orders


Getting the hard stick IV on the first try


Trying to eat lunch in between phone calls 


When your patient comes up with a question for the
 doctor five minutes after they leave the room


When '"that" patient decides to leave AMA


Cdiff


Walking out of a room of a patient with colonoscopy prep


Getting an admission with 42 medications 
and they don't know what they take


Your patient with a cold being slightly melodramatic


Walking out of an isolation room also turned up to 80 degrees


Keeping your opinion to yourself as a patient corrects 
you with information from WebMD


Reminding all nurses why they chose nursing


End of your shift



Saturday, April 29, 2017

The Top Ten

***None of these lists are in any particular order***

Top Ten List Of The Top Ten Lists To Follow
10. Top ten things I've been doing for the past 6 months of blogging hiatus
9. Top ten things I'd like/will be doing now that my school semester is over and I have a life again
8. Top ten work stories
7. Top ten tricks that my dog can do
6. Top ten things that I have discovered recently and think you should try because they're really good
5. Top ten songs to listen to when you're feeling good
4. Top ten favorite names for a future pet
3. Top ten episodes from shows that I've watched all the way through
2. Top ten throwback videos from youtube
1. Top ten things I've learned as a twenty-something

Top Ten Things I've Been Doing For The Past 6 Months Of Blogging Hiatus
10. Work
9. Clinical hours at LBJI with a pain specialist
8. Schoolwork
7. Sleeping
6. Eating
5. Playing epic amounts of pinochle
4. Binge watching Netflix
3. Church related activities
2. Driving somewhere
1. Fun stuff

Top Ten Things I'd Like/Will Be Doing Now That My School Semester Is Over And I Have A Life Again
10. Hot yoga/ soccer summer league/ running
9. Reading Rory Gilmore's book list (only 280 books to go!)
8. Online computer science course
7. Traveling to Europe (89 days!)
6. Murder Mystery Dinner
5. Pinochle
4. Young adult/youth group activities
3. Sleeping
2. Eating
1. Whatever else strikes my fancy at the moment

Top Ten Work Stories
10. My patient told me I looked like John Travolta.
9. Gonna be honest, most of my stories are either truly disgusting or require much more context than I'm gonna give on a top ten list. I mostly just wanted to say that somebody compared me to John Travolta.

Top Ten Things My Dog Can Do
10. Play the piano
9. Crawl
8. Beg
7. Pound it
6. Spin
5. Roll over
4. Up high
3. Have implicit knowledge of when he will be left at home and goes and pouts
2. Stay
1. Cuddle

Top Ten Things That I Discovered Recently And Think You Should Try Because They're Really Good
10. Hamilton (not really new, but I won $10 tickets in Chicago twice!)
9. Seabiscuit (the book-also not new, but new to me)
8. The Office (yes I know I'm about 10 years behind)
7. The Nightingale (book)
6. Rick Steve's everything (if you're traveling)
5. Yoga with Adrienne (youtube videos)
4. Lin Manuel Miranda's twitter account
3. This Instagram Account https://www.instagram.com/edgar_artis/
2. Stranger Things
1. Podcasts including Serial, Sawbones, Stuff You Should Know, Presidential, and Revisionist History

Top Ten Songs To Listen To When You're Feeling Good
10. Be Okay- Oh Honey
9. Something Beautiful- Newsboys
8. I'm Gonna Be (500 Miles)- The Proclaimers
7. Build Your Kingdom Here- Rend Collective
6. Seize the Day- Newsies
5. Perfect Day- Hoku
4. 22- Taylor Swift
3. It's a Great Day to Be Alive-Travis Tritt
2. I'll Make a Man Out of You- Mulan
1. Good Time- Owl City

Top Ten Favorite Names For A Future Pet
10. Tonks (dog of any kind)
9.  Irene Adler (sassy cat)
8. Gilbert (dog with a squishy face)
7. Tink (small dog or bunny)
6. Fezzik (large dumb dog)
5. Pippin (dog that looks like a puppy for its' whole life)
4. Spock (cat or dog or lizard)
3. Lil Spicer (my favorite dog)
2. Reepicheep (rat, chihuahua, or other detestable thing)
1. Nala (the pretty dog)

Top Ten Episodes From TV Shows That I've Watched All The Way Through 
(This list was largely influenced by my siblings)
10. Parks and Rec- Roadtrip
9. How I Met Your Mother- Slap Bet
8. Castle-Countdown
7. Star Trek Voyager-Shattered
6. Sherlock-A Scandal In Belgravia
5. Doctor Who- Blink
4. Stranger Things- The Body
3. Scrubs- My Old Lady
2. The West Wing- Game On
1. Firefly-Out of Gas
Disclaimer: I understand that this list reveals me as a geek/nerd. I am ok with that.

Top Ten Throwback Videos From Youtube
10. Charlie bit my finger- https://www.youtube.com/watch?v=_OBlgSz8sSM
9. Numa Numa- https://www.youtube.com/watch?v=KmtzQCSh6xk
8. Evolution of Dance-https://www.youtube.com/watch?v=dMH0bHeiRNg
7. Harry Potter Puppet Pals-https://www.youtube.com/watch?v=Tx1XIm6q4r4&t=8s
6. Forever Wedding Dance-https://www.youtube.com/watch?v=4-94JhLEiN0
5. Ok Go Treadmill Dance-https://www.youtube.com/watch?v=dTAAsCNK7RA
4. Friday-https://www.youtube.com/watch?v=kfVsfOSbJY0
3. Daniel after dentist-https://www.youtube.com/watch?v=txqiwrbYGrs
2. Susan Boyle-https://www.youtube.com/watch?v=RxPZh4AnWyk
1. Miss South Carolina-https://www.youtube.com/watch?v=lj3iNxZ8Dww

Top Ten Things I've Learned As A Young Twenty-Something
10. Transition is OK
9. The situation you're in may only last a short time, so make the most of wherever you are
8. Although relationships and circumstances change, friends still need friends
7. Now is the time to be brave, but not stupid
6. Timing is not under your control. Trust God.
5. Invest in people of all age groups
4. Travel
3. Learn as much as you can cause your brain is only gonna slow down (real encouraging right?)
2. Live with the knowledge of brokenness, but the hope of salvation
1. Pray