Monday, December 15, 2014

the nurse you don't see


sometimes "privilege" doesn't sound like the right word for my "job"- but that word definitely doesn't sound right.  i get a paycheck every couple weeks, so it is indeed a  job, but i love it way to much to call it that.  but there are times when no word fits.  if someone had taken a stroll through the unit that night they would have seen people in scrubs doing what most every other person in scrubs would do: meds, IVs, charting, cleaning, smiling, moving, holding.

there are so many pictures, posters, posts and blogs about what it means to be a nurse, one more won't break the internet (i hope). i think every nurse has "that one" shift, maybe a small handful of shifts, that is their defining shift, that captures it all for them, that "lightbulb" moment where they realize what nursing really, truly is and why they can still handle being a nurse. there are many opinions of nurses, the majority of them positive- but for weird reasons, like because of passing nursing school,  or because i make "so much" money, or because they can't fathom starting tiny IVs or changing huge diapers, or hold a bucket for a nauseated stranger and are glad someone else will, or because they or a family member has been hospitalized and had a good, or at least expected- given the situation-, experience. just about all of it is true- except for the "so much money" thing (i don't know where that nonsense comes from), but none of it has anything to do with how i feel about my job or how i define it. 

the "everyones" out there have their reasons based on the nurse they see. good for them- their opinions are valid and appreciated.
but i have my own reasons, and they're all based on the nurse they don't see.

the nurse you saw last night successfully started a tiny IV in a tiny, wiggly scalp, cleaned up puke at least half a dozen times, dosed out antibiotics and drew labs all over the place.
...the nurse you didn't see literally held a cranky kid's hand for 15 minutes so he would just finally go to sleep because he felt like crap, skipped lunch, and helped code a newborn while the parents slept upstairs, quickly, quietly, efficiently- at least 5 people working as one body with one mission: save this life.

the nurse you saw helped a friend clean up after the code failed, paper, notes, packaging, pens, equipment, trash. sweep the floor. wipe down the monitors. clean off, scrub down, and set up the bed for the next admission.
...the nurse you didn't see couldn't help the parents at all.

the nurse you saw was laughing and cracking jokes about stupid, borderline insensitive, things as the nurse she helped earlier helped her as she restarted yet another IV in the puke-y kid for more medications.
...the nurse you didn't see had to laugh about something because it was either that or just cry.

the nurse you saw couldn't cry- at least not on the clock because the kids still needed to be fed and cleaned up again- after puking up everything you just fed them 5 minutes earlier.
...the nurse you didn't see was still holding back the tears, because in a way she just lost a child that night, too.  nothing at all compared to her parents- nowhere near it- but we lost, too.

the nurse you saw didn't sit down for more than 5 minutes until 0628 exactly. (those three 5-minute segments were strategically placed bathroom breaks).  literally every time she did sit down someone somewhere needed her immediately.
...the nurse you didn't see wasn't ever "there"- because she was always "somewhere" else, or moving from "here" to "there" and it was just more efficient to keep walking- or running- than try to sit and chart. 

the nurse you saw clocking out was tired and dizzy and struggling with the whole spectrum of emotions as well as a sudden drop of adrenaline, caffeine, and blood glucose-all concurrently.
the nurse you didn't see was driving well below the speed limit because she couldn't see.  everything was blurry.

the nurse you saw, and maybe were driving behind and trying to pass, was already a mess before the shift.
the nurse you didn't see-believe it or not- sometimes has a life outside the hospital and things there were fraying at the edges  before  the shift started, so you can just imagine how her face looked stopped at that red light. well, probably better not- it's not pretty.  she stayed in the car, parked in the driveway, for another half hour to calm down, praying, thinking, processing, crying it out, hoping the red eyes wouldn't attract attention from the roommates, not having a word to offer as explanation.

the nurse you saw did all those things you thought she did, and is at least as lucky as you think she is- but not for the reasons you may have thought.
yeah, it's a job. a job that takes up weekends, holidays, nights, hours on-call, late-night take-out orders, phone calls and texts at 2 am, sore feet, headaches.
but it's more, and completely different. i guess the super-spiritual, cool word to use would be "calling." we are called because we love it, and we love it because we are called to it.  over and over and over again, knowing that we are constantly one heartbeat away from having another shift like this one.
it's more than a privilege, even on those mind-blowingly wretched nights that threaten to beat you down into the floor. 

because those are also the nights when our team of nurses would put Jack Bauer to shame.  and because we were able to see the victory on one side of the unit, even while dealing with a defeat on the other side.  those victories are what make it so worthwhile. seeing a patient hold down a feeding, gain a whole whopping 15 grams, breathe for himself, outgrow a preemie onesie- the things nobody else spends a thought on- those are our victories and what i hold on to.  there is sickness, disease, pain- a whole fallen world plagued with sin and trauma- but i get to fight back, wielding prayer and hemostats like weapons.

i can't explain it any better without writing a book, but i also can't really think of anything else i'd rather have done that Thursday night, or anywhere else to do it, or anyone else to do it with, no matter what you call it or what you see of it. i usually just call it "nursing."

Friday, December 12, 2014

what Norman Rockwell forgot (or, the Webb FamFest 2014)


every year, there is this special day in America where we celebrate good food, all the good things we have, the bad things we don't, and the long-held family traditions.
we call it Thanksgiving.
a perfect, massive turkey with all the dressings, served from the left by a petite brunette weighing no more than 125 pounds to a manly man, head of the household as he proudly surveys his brood of perfectly behaved children, all eager to share their loving reflections of this past year and hopes for the year coming.  their hair is perfectly arranged and the china is gleaming. 

HA!

sorry- that was the Norman Rockwell poster that was probably true for one family once.  it was not our family. ever. but tell you the truth, i'm mostly okay with that.  if a picture is worth a thousand words, he captured 1,000 excellent, lovely, true words of what it means to belong to an American family.  this nation is truly blessed and i love the idea of celebrating and setting time aside solely to remember these blessings and praise the source of them all. 

i also love all the other stuff that can't fit into a painting.  what makes each family unique, what makes the best stories.  that family NR painted ain't got nothing on ours!

here's what Norman Rockwell forgot:

the full story of Turkey Day starts several hundred miles earlier, where every good American joins all the bad Americans in the craziest dance ever, all the players surrounding themselves with literal tons of metal and fly in all directions, all over the nation, going many, many miles per hour.
now, i love people.  what i DON'T love is people in cars. they are 5,000 of the 5,010 reasons I adore driving overnight.  the crazies aren't there.  they steer with one hand and with the other, they are eating, or drinking (a variety of liquids), changing radio stations, taking medications, changing clothes, shopping, video-chatting, texting, singing, screaming cuss words at the GPS, cutting nails, or slapping children in the backseat. 

funny: the telepathic mind games we play so we can edge our way in front of that Handicapped-license-plated lady in the old Ford car so we can set our cruise control and just GO.

funnier: the horrible knowledge that it does not matter what speed you set your cruise control to.  Eventually, the Handicapped lady, and the jerk in the jacked-up pickup truck are going to realize that you are "first" and that this is not "fair" and they ABSOLUTELY MUST BE IN FRONT OF YOU.  one of them will get in front of you, and then set THEIR cruise control for 2 mph less than you and refuse to go in the slower lane.

funniest: knowing that it also does not matter what state you are in, or what the sign says, be it 70, 65, 60, or 70 again.  the traffic pace does not change one whit.  you find that Handicapped lady's back bumper and stick to it.  set your cruise control to hers, and don't fight it.  
laws mean nothing when a good family vacation is at stake.  speed limits, state borders, and let's not forget our favorite: that moment when you are soaring down the middle lane of a 5-lane highway that is splitting into 2 highways, and suddenly a big ole' minivan realizes that they are one lane to your left, but they NEED TO BE IN THE FAR, FAR, RIGHT-EST LANE RIGHT NOW.  they need to stay on Interstate 40, not Interstate 81, and they ignored all the miles of signs, warning lights, GPS and Mapquest directions, backseat drivers and all the other cars who spent their time productively by safely and calmly getting into the proper lane.  NOPE.  let's just play with people's lives in our new, fun version of the Russian Roulette.

eventually, hopefully, you will arrive at the predetermined relatives' home, feeling, looking, and smelling just like you think you would, after being trapped in a metal, mobile cubicle for countless hours. good thing relatives are never stressful.  if you're in my family, you don't need to wait until The Feast before diving right on in to the arguments- we had the Pre-Feast Dinner.  Picture half a dozen people.  some with Law degrees, some with art or English degrees, some with NO degrees, all with opinions, debating huge controversial issues.  nobody in our family has an "indoor" voice.  we have 2 settings- Loud, and Louder. we all have opinions, and the presence or lack of food in our mouths doesn't change the opinion or the need to immediately share it with everyone, who is doing the same thing.  we sound like animals- we're not, i promise.  

i think just about every family that sets time aside during the year to get together has SOME sort of family tradition.  some families have the tradition of having NO tradition, but for some reason it's those traditions that draw them together even if they seem to do the opposite. 

for example: we used to have no other tradition besides just getting together every Thanksgiving.  one year, my athletically inclined uncle said "hey- this is a fabulous time on a fabulous day with some fabulous weather-let's go on a fabulous walk together." so we did, and at least 2 of us had a truly fabulous experience.

the next year, he said "hey- this is a fabulous day with some fabulous weather, so let's continue our fabulous tradition of a Thanksgiving Walk."  yeah- they pulled out the Tradition word.  the siblings and i looked at each other, saying "what is this 'tradition' that you speak of?" but we all went anyway.

you see what just happened there? yeah- see, now it WAS A TRADITION.
and because breaking traditions in our family is like sacrilege, it is now decreed that every Thanksgiving, our family goes on our annual Walk. 

i just need to share this moment from our Walk this year, which was about as miserable as possible.  one sister that i drove 800 miles to see busted her knee, so she, sadly, couldn't come. poor thing.  the other sister had a baby to feed, and the grandparents weren't up to it, and neither was the aunt.  family politics were suddenly a huge deal, and i convinced my brother to come (either because he loves me, or is a complete sucker for my Sad Puppy Dog Face) so i'd have someone to talk to.  then strategy came into play and we changed the speed of our walking to position ourselves with the "right" relatives, as all those relatives were doing the exact same thing. don't deny it- EVERY family does this, in some form or fashion.
well, sometimes the Weather Pixies don't really care about your family traditions, which is why smart people check the weather forecast to see whether it is compatible with these traditions so dear to our hearts. 
we didn't.  nobody checked the forecast.  but daggum, we were going on that Walk!! 
which started with a steep uphill climb.
then it started raining. 
then my hands went numb.
then the family members caught on to our pace and tried to catch up. 
then we were all miserable and turned around early. Joel and I power-walked/jogged back as fast as we could, which wasn't too fast because i'd donated blood a day before and was bent over double- but still way faster than anyone else because this was the worst Thanksgiving Walk ever, and i was on the verge of a breakdown by the time we sloshed, soaking wet, back indoors after almost 4 miles of rain, cold, and avoiding each other in the sneakiest manner possible.

this of course, leads up to the actual holiday part.  we all borrow clothes, throw the wet ones in the dryer, and scatter all over the house into the groups of people that will cause the least amount of stress, to talk politics, watch movies, play blocks with the baby and toddler, take pictures, take naps, or help prepare The Feast. i am so good at dumping and smashing ingredients together.  i should get a medal.  Aunt Kathy gets The Bird ready to go and I lay claim to that left drumstick.  4 hours later the feast is spread.  4 minutes after that- carnage. i was somehow the second to last person to go through line, but i did get the drumstick.  because we got all the fighting out of our systems, between last night and the Walk, we get down to the serious business of eating.  that's what Thanksgiving is for, right?  well, we take this quite seriously, and happen to be excellent at eating. we are stuffed before the food is quite gone, but somehow manage to take care of those desserts, too.

a while ago, Jackson was blessed to host a couple of our Brazilian  translators as they were visiting the US for a while and decide to bop on up for a few days.  a favorite moment while discussing the cultural differences was their facial expressions as we tried to explain a good ole' American Thanksgiving weekend, which isn't over until
BLACK FRIDAY.
America at its finest, folks.  word of advice: DON'T STAND NEAR THOSE KITCHEN APPLIANCES, or you WILL get mowed down by that overzealous grandmother tearing through the store to get her greedy hands on the last crockpot on sale.  i mean, it's not like Thanksgiving is all about celebrating all the good things we have or anything… oh wait.  take that family picture before bed Thursday, because come Friday 3 am, we as a general public, devolve into stark-raving mad lunatics.  the idea that people have actually DIED by being trampled by the masses still astounds me.

but there are a few things that Rockwell managed to capture.  the aprons, bobby pins and ancient clothing fashion trends are gone, but the feelings he painted are timeless.

like, that family that is so easy to take for granted- they're there.  sometimes that's good, and sometimes you just have to laugh, knowing that one day you'll look back and be thankful that memory is so far past.  the Walk is one of those.  i love how it was during that exact timeframe, when my fingernails were legit blue and my shirt soaked, that 3 of my favorite extra-familial people called or texted to check in on me.  one real-time selfie answered all their questions.  but they were there for me, too, just like family of a different sort, and part of what we celebrate even if the celebrating appears to be lost in all the chaos. and i got a lot to celebrate.

i got sister time- long, late hours of it.  i got brother time- short and brief, but still there.  i will get, soon, my own personal copy of The Webb Family Picture, which is another tradition, and another moment to laugh about- later.  much, much later.  i got moments with some pretty great people that i haven't seen in ages, and even a few more pictures for proof that we were in the same place at the same time! i got 20+ hours of driving time, time spent singing loudly for nobody to hear, time spend to pray, time spent just to be quiet, still, breathe.  i got Pilot coffee.  i got to relive memories of some of my favorite people ever who now live all up and down I-40, as i passed their towns and cities.

we're all pretty good at complaining, but i gotta say we do know how to celebrate the good things, and maybe once i've recovered from the Walk in about a year, i'll once more join those crazies barreling down I-40 to do this all over again.
to remember- the good, the bad/weird/confusing/embarrassing.  to celebrate- freedom, family (all kinds of family, not just biological), food (stay away from my drumstick).  

i'll be the one hugging that old handicapped, speed-demon lady's bumper.