16 June 2010

alegria e paixao

The World Cup. The event so full of beauty, joy and passion that it fills my tiny, bitter cold little heart to bursting.

Sometimes I get up at 4.30am to watch the game before I leave for clinical at 6, because it wakes me up more than half a pot of coffee. Sometimes I stream the games on my laptop during pathophysiology, because soccer is more important than breathing (mechanisms). Shhh.

Semi-finals and the final are during my mid-term break, thank you Jesus!

...my teams are:

Spain -because La Furia Roja is my heart
Côte d'Ivoire -the African Cinderella story
Brazil -because no other team makes soccer look like so much fun
USA -because I am American, after all. And Clint Dempsey is my man. <3
Holland -because 'oranje est de kleur van gekte'*

Naturally, I also support Yoann Gourcuff (and not the French, mind you, haven't forgiven Henry and his handballs), and the Argentines. I'm an equal-opportunity football slut in the name of the beautiful game

*'Orange is the color of insanity.' -van Gogh

11 June 2010

student nurse

eu estou estudando para ser uma enfeirmera.

('I'm studying to be a nurse' in Portuguese)

Student nurse. The words that define me and will for the next 14 months, not that I'm counting. It's both a blessing and a curse... a blessing when I ask a stupid question or do something asinine and then realize it, brushing it off with a "oh, I'm just a student nurse and I don't know very much yet" and receive a pat on the shoulder and maybe a bit of helpful advice, or when patients appreciate the extra TLC and attention that students are able to give. A curse when I introduce myself to a patient and receive a brusque "when's the real nurse gonna come in?" in reply, or when I stand around waiting helplessly for a real nurse to show up and assist me in administering narcotics or insulin (juniors can't without a licensed nurse).

I'm learning how to work the system, though. When patients ask me how long I've been in school, I answer that I'm graduating next August, rather than admitting I've been in school since January (and giving shots to real people since April). They hear "August" and are satisfied. Not that I'm bad at giving shots. I'm good at it. And for those other skills, I can fake confidence like you would not believe.

Patients are assigned an acuity level (number indicating how hard they are to take care of). I got my first level three today (harder than a level two) which made me feel like a big girl, which was awesome, and I am a fan of being challenged. I hate complacency. In other news, I'm still a "suppository virgin" -- the words my preceptor used when she found I hadn't given a missile pill yet. I almost had to today, but the patient refused at the last moment.

I have one more week of clinical at the big beautiful hospital with the gorgeous view. I hate getting ready to say goodbye just as I'm finally starting to get to know the staff and get used to the general run of the place.

I can totally do this nursing thing.

I love it.

04 June 2010

they promised me this kind of exhaustion was "rewarding"...

Fourth week of med/surg clinical is officially over. They let me have two patients this week (at the same time!). Result: my boredom has ended.

Highlights:

-Successfully inserted a catheter. First cath, first try... never thought it would be such a thrill to poke rubber tubes into people.
-DC'd 2 IV sites, a catheter, and a hemovac. All this means pulling tubes out of various body parts.
-Made a patient's day by faxing her scrip to her hometown pharmacy... and it went through! (My lesser-known superhero name is Technologically Incompetent Girl)

In other news:

A cardiologist, a PA, an OT and a PT all treated me like an actual nurse and not just a probie today. By this I mean they asked me questions, discussed patient care and generally did not treat me like an idiot. Trust me, when you're a student nurse, it's cause for a party when people take you seriously. Or at least seriously enough to discuss stuff with you.

It was pretty funny when a patient asked me about something, and after talking to my preceptor and the occupational therapist (OT) about it, we told her to ask the doctor. The doctor came in while I was in her room, so she asked him. He said he didn't know and asked me.

Now I just have to get them to let me watch a surgery, like the cool kids on the ortho floor.

02 June 2010

memorial day

At my house, we don't wait for Memorial Day to come around to remember our freedom. My grandfathers and brother are are all veterans, and my brother writes Acute Politics. The subject is never far from our minds.

During my semester break (1 week) at the beginning of May, my dad and I watched four WWII movies.

They Were Expendable - 1945, Philippines
The Longest Day - 1962, D-Day
Patton - 1970, 3rd Army from North Africa to Germany
Das Boot - 1981, Atlantic, uncut director's version

And then I read Band of Brothers by Stephen Ambrose, the book that follows E Company, 501st Regiment, 101st Airborne Division from airborne school to the beaches of Normandy to Hitler's Eagle's Nest.

While I recommend all of the above, should you have the time to commit, the book Band of Brothers is a fairly quick read, highly informative, and extremely poignant.

They Were Expendable is a John Ford-directed movie starring John Wayne, filmed during the war and highlighting the torpedo PT boats used in the Philippines during the Pacific campaign. There is an extensive review (7 parts) of the movie over at Big Hollywood that I highly recommend. The war in the Pacific is interesting, although largely forgotten. I'm about to read We Band of Angels about the nurses on Bataan during the campaign in the movie (in all my spare time). It satisfies both the nursing side of my soul and the history buff part of me. This from a girl whose passion was ignited standing above the USS Arizona on New Year's Eve and listening to people speaking in Japanese.


The flag flies over the grave of USS Arizona, Pearl Harbor, Hawaii

Das Boot is a submarine story from the German perspective and definitely worth watching.

If there is anything else I could say about Memorial Day, it is only that I have been to France twice and Belgium once and have yet to see the beaches of Normandy or Flanders Field, where my freedom was bought long before I lived. Liberté liberté chérie...

L'Arc de Triomphe, Paris, France


The Grave of the Unknown Soldier, Paris, France

Nothing moves me as much as the monuments to those who paid the ultimate price. Thank you to out veterans as well as to those who gave their all. You will never be forgotten.