My Runaway Heart

Have you ever loved someone so much that you would suffer any indignity to remain with them? Someone you loved so fully you’d forgive them anything? Someone you couldn’t imagine living without?

I have. In time, I hope someone will love me with that level of intensity.

Leaving a relationship like that is hard. The mind is a great deceiver when the heart is involved. Sometimes to protect ourselves, we have to flee. And that’s what I did.

How many miles do you need to put between yourself and your broken heart? In my case it’s 1027 miles. That’s how far I had to run to allow my mind to accept what my heart had known for over five years.

It’s been a tough year. So tough that it’s been difficult to write and too dangerous to blog. Most of the venomous, mental vomit I’ve had to spew has been confined to composition books inked with my favorite Pilot G2 pens rather than committed to the internet to live on forever, a toxic reminder of a difficult time. Because even though I know leaving was the right thing, late at night my inner mean girl whispers that if I’d been stronger, I could have stayed and detached rather than running.

Image

But in leaving I found boldness and courage and the opportunity to remake my life into something I’m proud of. I’ve found that the things my old life told me I sucked at aren’t true. I can finish things. I can stick it out. I can take care of myself financially. I can be alone. I can make friends. I’m not great at everything I attempt, but I can ask for help. I make mistakes. I recover from them.

I’ve found my voice.

It amazes me how much of my old life was based on fear: fear of rejection, fear of failure, fear of looking foolish, fear of being thought of as weak. Now I base my decision on my needs, and if things don’t work out the way I want them to, I make a new plan.

I’ve learned that even the worst plan can be reworked.

Most of all, I’ve realized that there is nothing worse than being with someone that makes you feel alone.

I left New Hampshire because I was weak. In leaving I discovered how strong I really am.

 

 

A Farewell to Dad

He wasn’t the best father, but he was my father.  When my sister called and asked me to accompany her and my brother to his deathbed, I went, even though I hadn’t spoken to my dad in 22 years. I did it, I thought, for my siblings. Turns out I really did it for me.

Our family picture after the death of my oldest brother, Rod.

Our family picture after the death of my oldest brother, Rod.

When we entered the room where my dad lay dying, he looked exactly like his father had 22 years before. His head, covered with silvery gray hair, was thrown back on the pillow, his mouth gaped open, and harsh, irregular breathing filled the room.  Though the nurses said he could hear us, he was unresponsive.

Unlike my grandfather, who died at home in his living room, my father began his death in an intensive medical care unit. Outside the unit a sign warned us to wear masks due to a flu outbreak.  He was on contact precautions so before we entered his room we added gowns and gloves to the masks that covered our faces. The constant beep of monitors and the intrusion of nurses to empty his catheter, titrate his medications, and turn and position him widened the space between us and him.

It was hard to break that space.

The death of a parent, even a parent that never embraced the traditional role and remained more of a Peter Pan man-child than a King Triton type of dad, is hard. When it’s a father you’ve only seen from a distance for the past 22 years, one you’ve ducked down grocery store aisles to avoid and maintained at least a one room separation from at family gatherings,  it’s a little harder.

In Al-Anon they say one can detach with love or detach with dynamite. I’d always seen my choice, dynamite, as irrevocable.  As I smoothed his hair, wrapped his hand around mine, and reminisced about our shared past, I realized I was wrong.

Even though it was too late to repair the damage done to our relationship, it wasn’t too late to remember the good times we once shared.

In the time we spent alone, I played him the songs we knew together and the ones I’d grown to love since then. Kenny Chesney sang “Boys of Summer” in the background and I talked about fall in New Hampshire, football games my older brother played in, and towns we had rivalries with. Willie Nelson crooned “Always on my Mind” while I told him about the toast  my youngest gave at her sister’s wedding and how it reminded me of him. Craig Morgan sang “Almost Home” as I retold stories of the friends and family that had predeceased him. Over and over, I told him it was okay to let go.

But, he hung on.

The palliative care nurse practitioner said he wouldn’t survive once they stopped the medications, but the medications stopped and he didn’t. Then they said the ambulance ride to the hospice might kill him. One last road trip, I murmured as the stretcher rolled into the Florida sun and bumped up into the ambulance, yet still he hung on.  We can keep him pain-free, they said at the hospice, but it might hasten his death. It doesn’t matter, we told them, yet in spite of the pain and anti anxiety medicine, he breathed on. We sat by his bedside and laughed, prayed, told stories, cried. We watched him take one agonizing breath after another and we held our breath each time they stopped. But he kept breathing.

It wasn’t until late the second night, with all of his children around his bed, that he opened his eyes, took one last breath, and died.

My clearest memory of childhood is my father’s lectures at the dinner table. He’d tell us look around this table, these are the only people you can trust. These are the only people who love you unconditionally and will love you even if you grow up to be a murderer, a rapist, or a thief. For years I joked about his low expectations for us instead of focusing on the other part, how much he loved us and how much he wanted us to love and look out for each other.

Perhaps he hung on to make sure we’d learned the lessons he’d taught us. Even me, the daughter who had ignored him for 22 years.

If we get to make our own heaven, I have no doubt he’s in a place where the Jameson flows freely and the stories and laughter never stop and he is surrounded by people who love him.

He wasn’t the best father, but he was my father, and, in the end, I loved him still.

Things to Worry About

The other night I lay in bed worrying about all of the out-of-control aspects of my life. My recent move to South Carolina, current unemployment, houseboat in need of repairs, and car problems have pushed my shoulders to a permanent position slightly below my ears and caused the left side of my jaw to clench. As a nurse, I know that stress can cause stomach problems, insomnia, elevated blood pressure, and chest pain. Lately, I’ve had them all.

My daughter restricts me to only worrying about three problems each day, but even the process of choosing three problems to focus on leads to palpitations and emotional paralysis. Is it any wonder I find it hard to sit down and write? Any surprise that after three weeks my clothes remain in a suitcase rather than hung up in my closet? I think not.

I’m embarrassed to admit (but some of you won’t be surprised to hear) that some of my anxiety is irrational. It’s one thing to be stressed about finding a plumber to replace a hot water heater on a houseboat, another to worry that poisonous insects will squirm up through the air conditioning vents and crawl into your ears while you sleep. Right? It’s normal to worry you’ll encounter a loose dog while walking your dogs and have to break up a dog fight, slightly crazy to think a black snake (googling a picture will haunt my dreams so I imagine an eight foot long snake as thick as my arm) will be lying in wait on the side of the road and attack me. My daughter tells me it must be hard to live in a world where I’m always waiting for the worst to happen. It is.

Pharmaceuticals aren’t helping nor is alcohol. I could try meditation, but worry some creature will scurry over me while I’m lying prone. In my mind, my South Carolina lakeside home is as dangerous as the Florida Everglades at night. That sums up my skewed thought processes.

In desperation, I’m trying a new strategy to deal with my stress. Instead of agonizing over it, I write it down on a white board titled “things to worry about.”  My list covers everything from a caterer to fire ants. It’s a grand conglomeration of every single thing I can think to worry about, no matter how insignificant or psycho it seems. It guarantees, unless someone sneaks into my house and erases it, that I don’t have to keep all of my worries at the forefront of my thoughts. Instead they are readily available and easily added on to.

Things to worry about. Must add snakes.

Things to worry about. Must add snakes.

Silly? Perhaps. Effective? Hell, yes. Since I’ve started the list, my muscles have untightened, my sleep improved, and I’ve even managed to pump out a blog post. Now if only I could make money off my brilliant idea…

The Case of the Dirty Dentist

English: Putting toothpaste on a toothbrush. T...

English: Putting toothpaste on a toothbrush. The toothpaste is Crest Pro-Health Clean Cinnamon, 0.454% stannous fluoride, 0.16% w/v fluoride ion. Deutsch: Zahnpasta auf eine Zahnbürste auftragen. Русский: Выдавливание зубной пасты из тюбика на зубную щётку (Photo credit: Wikipedia)

Most of us wouldn’t think twice before checking that our silverware is clean at a restaurant.  But, when we sit in the dentist’s chair nervously eying the tray of gleaming stainless-steel instruments laid out beside us, we don’t pick them up and make sure they’re clean. We rely on our dental professionals to sterilize anything going into our mouth. That reliance may be a mistake.

Last week the Board of Dentistry performed a surprise inspection of oral surgeon Dr. Scott Harrington‘s Oklahoma office and found numerous problems with sterilization of instruments. The good doctor’s response when questioned?

“Dr. Harrington referred to his staff regarding all sterilization and drug procedures in his office,” the complaint read. “He advised, ‘They take care of that. I don’t.'” His attitude seems to be that not infecting his patients with blood-borne diseases is someone else’s job.

Other issues that came to light during the inspection included the doctors reuse of needles, disregard of expiration dates (one bottle of morphine expired in 1993) and his use of unlicensed assistants to perform tasks only a licensed dentist should perform, such as giving IV sedation.

Now over 7000 patients will undergo  testing to see if they contracted hepatitis or HIV due to the oral surgeon’s noncompliance with basic infection control practices.  In the meantime, don’t be fooled into thinking this is an isolated problem caused by one errant doctor.  On March 22, 2013 the Rhode Island Board of Dentistry temporarily shut a practice down after finding debris on multiple instruments in ‘sterile’ packages in exam rooms. No word on whether that dentist took responsibility for his office practice.

But, speaking of responsibility, how much responsibility do patients have to protect themselves from healthcare acquired infections? People have been trained not to touch someone else’s blood unless they wear gloves. People are encouraged to use barrier devices, such as condoms, during sex to prevent STD’s. Should our public health officials start a campaign to encourage patients to protect themselves during invasive procedures such as dental procedures, colonoscopies, and injections? If so, how can that be accomplished?

Recent articles have suggested patients ask dentists to prove they’re following guidelines in the care and maintenance of sterilization machines.  They’ve also advised patients to request to inspect the instruments prior to being removed from their sterile packages.  Other tips are to watch the dentist’s glove use, look at the overall office cleanliness, and quiz the dentist and staff as to how they handle reusable instruments. All excellent points, but it also requires a level of doctor-patient transparency and discussion that’s not usually seen. More importantly, how is your dentist going to react to his judgement and cleanliness being questioned?

In my work in the healthcare field, even the idea of a patient (or another healthcare team member) questioning whether someone has washed their hands before patient contact is a source of controversy. In a Swiss study, 76% of patients felt uncomfortable asking a nurse if she’d washed her hands and 77% felt uncomfortable asking a physician the same question. If patients don’t feel comfortable asking a simple question like that, do we really expect them to ask complicated, technical questions about sterilization procedures? Asking for clean instruments should be as easy as asking for a new knife or fork at a restaurant when the one on the table is dirty, but it isn’t.

English: South China Sea (May 16, 2006) - Hosp...

English: South China Sea (May 16, 2006) – Hospital Corpsman Steffon Corna sets up dental tools for a tooth extraction in the Dental Department aboard the Nimitz-class aircraft carrier USS Abraham Lincoln (CVN 72). Lincoln and embarked Carrier Air Wing Two (CVW-2) are currently underway in the Western Pacific operating area. U.S. Navy photo by Photographer’s Mate Airman Apprentice Brandon C. Wilson (RELEASED) (Photo credit: Wikipedia)

Will I stop going to my dentist? No. Will I ask to inspect the instruments for debris before my next procedure or cleaning. Yes. Hopefully he’ll understand, but if he doesn’t, I’ll tell him I’m holding him to the same standards I’d hold a restaurant to. I’m sure he doesn’t like eating off dirty forks any more than I do.

 

 

Can You Hear Me Now?

Vaseline Glass Bowl-Hat

Vaseline Glass Bowl-Hat (Photo credit: Paul Garland)

When I was younger, I thought wearing glasses was the biggest humiliation I would have to suffer. Without glasses I can’t see the computer screen I’m sitting in front of, but glasses have a downside. In cold New England a walk from the chilly outside to toasty inside results in a thick layer of condensation that renders glasses wearers temporarily blind. In the summer, going from air conditioning to humidity does the same thing. Aquatic endeavors require a decision to either see what’s going on (my preference in a lake) or swim blind (my preference in the ocean. I believe if I don’t see the shark, it won’t see me).

PhotonQ-Under the Shark

PhotonQ-Under the Shark (Photo credit: PhOtOnQuAnTiQuE)

I’ve made my peace with wearing glasses, but now I’m confronted by a problem many of my fellow baby boomers are also facing,  hearing loss. Yes, we didn’t wear helmets when we biked/skied/played sports and we didn’t wear hearing protection when we shot guns, listened to our Walkmans at full blast, or spent time in noisy environments. Our youthful ignorance of the damage caused by loud noises has led to an explosion in the number of baby boomers with hearing loss.

The National Institute for Health reports that 18% of adults in the 45-64 year old category, have hearing loss. The percentage of Americans with hearing loss increases in the 65-74 year old group to 30%, and for adults over 75, a whopping 47% of them are struggling to hear.

How many of those hearing impaired people are wearing hearing aids? Less than 15 percent. There’s a lot of people out there who have no idea what you’re saying.

Seems like a minor problem until you read the early studies that indicate adults with hearing loss are 3 to 5 times more likely to develop dementia than those with normal hearing.

Scary.

So why don’t we embrace hearing aids in an attempt to increase our thinking skills and ward off dementia (as well as not blowing out the volume controls on the TV)?

Hearing aid

Hearing aid (Photo credit: Soitiki)

Maybe it’s because hearing aids are equated with old people and we’re a nation dedicated to never growing old.  Not all of us can afford facelifts, botox, or tummy tucks, but we can dye our hair, buy anti-wrinkle cream, and pretend we can still hear.

And most people don’t know how much sound they’re missing. When I trialed hearing aids, I couldn’t believe what a noisy house I lived in. The refrigerator cycled on and off, the dryer had a strange squeak, and with the windows open I could hear my neighbor’s children playing outside. All sounds that hadn’t existed for me before the hearing aids.

I wanted to turn the volume down.

But without hearing aids I struggle to carry on a conversation in certain decibel ranges. I lean in closer and keep a semi smile on my face because I’m not sure if the correct response is to laugh or to  cry. Most of the time I can piece together what’s being said through context, but once in a while I can’t. It’s embarrassing when someone asks me a question and I don’t understand enough words to even guess what they’re saying. It’s like suddenly I’m hearing a foreign language and my ears can’t process it.

As easy as it is to downplay hearing loss or make a joke about it, the sad truth is that it has a profound effect on quality of life and, it seems, the risk of dementia. Maybe instead of being fixated with the idea that wearing hearing aids makes us old, we should think about all of the sounds we miss without them. If it’s a choice between hearing my daughter whisper “I love you” as she leaves the house or looking and feeling old, I think I’m going to choose to hear.

There’s only a finite number of “I love you’s” we’re privileged to hear and I’d like to hear every single one of them.

I’m a Nurse, not a Saint

Priest

Priest (Photo credit: Wikipedia)

I am continually amazed and astounded by the things patients feel comfortable saying to me. It’s as if they think a nursing degree is equivalent to a counseling degree, a white set of scrub pants akin to a white collar, and a hospital or outpatient clinic room is the same as a confessional. It’s not.

Confessional

Confessional (Photo credit: cliff1066™)

Don’t mistake my words for a renunciation of confidentiality. My lips are sealed when it comes to protected health information and you, but, as in real life, there are times when people provide too much information. I’ve provided some examples so you can judge whether you need to be a little more discreet on your next hospital or doctor’s visit.

When I ask you to undress down to your underwear and cover yourself with a sheet, you don’t need to tell me, “I don’t wear underwear.” That is a surprise best left for the doctor. I’m not coming back in to check that you disrobed appropriately.

If I ask you to take off your shoes to be weighed, don’t apologize for the holes in your socks. Our office is only responsible for checking sock holes on alternate Thursdays in months that end in -Z. Any other time, don’t worry. We won’t be putting it in your permanent record nor will I be calling your mother (or the Emergency Room) to rat you out.

If I come in with an shot for your child, don’t tell them it won’t hurt. Chances are it will. I’ll try to minimize the pain, but since I can’t tell them to “suck it up, buttercup,” I’m hoping you’ll have your big girl panties on and shush them rather them tell them you’re sorry the “mean nurse” hurt them.  The mean nurse can’t do shit unless you give me permission, but I’m not telling your toddler “your mean mom made me do it.”

If I do a cervical check on your pregnant girlfriend, don’t ask her if she’s enjoying it. She’s not. Neither am I. Creep.

Never ask me to rub “extra hard” down there if you’re unable to clean yourself off. There are non-medical devices and non-medical personnel who can meet your needs much better than I can. Once you ask, the only “happy ending” I’ll think of is your discharge or death.

Don’t ask if you can strip down to your underwear to ensure your weight is “accurate.” I personally don’t want to see you half naked and believe stripping down for non-medical reasons should happen in your home, not in the exam room.  You can buy your own scale for the cost of a co-pay.

Going Down?

Going Down? (Photo credit: billhd)

Don’t expect me to believe that you need an early refill on your methadone, oxycontin, oxycodone, percocet or vicodin because the bottle you just filled fell into the toilet with the cap off, ruining all of the pills. Unless a major study at a prestigious medical center proves that toilets have a preference for narcotic painkillers, I’m suspicious. This never happens to anyone’s heart, allergy, or diabetic medicine. If you have to lie, go big or stay home. Don’t let drugs kill your creativity.

Remember I’m a nurse, not a saint.