Did I Tell You The One Where Christmas Break Would Not End?

1476175_10202797128275919_1196886460_nTeachers everywhere were rejoicing. Of that I have no doubt. It started all extra-nice. (See above photo for evidence.)  It was snowy outside, warm and cozy inside, and the boys loved each other. I was having visions of piling up on the soda, toasty warm, watching our favorite movies, reading our favorite books. Cocoa would be in hand, complete with marshmallows. Zach in his footed pj’s, Evan in his flannel sleep pants, me in sweats.  The world shut out, and the ones I love shut in against the cold. There was no school for me, and only my 3 scheduled days of work per week. It was going to be great.

Then this happened:1480549_10202798469749455_592936327_nIt snowed. I love our street in the snow. The houses look so cute and cozy, the neighborhood becomes a Thomas Kinkade painting. We put up the Christmas tree together. This year, Zachy was really able to  participate, which was adorable. I kicked the OCD into low gear as he put the ornaments too close together, and somehow resisted the urge to tweak them ever-so-slightly the entire time that tree was up.

This year, I even managed to somehow get all of the Christmas presents for the boys wrapped before anyone knew what they were getting. This was about as successful a Christmas as I could’ve asked for, considering some of our previous misadventures. The whole next day, the boys broke  played with their new things. Then Evan remembered how fun toys can be when you are only 3, and Santa brings you things like racetracks for toy cars or little train sets. And it dawned on Zachy just how cool big-kid stuff can be.

Magic: Over. Bubble: Burst.

Next thing we knew, there were fights. “Mommy, Evan did________.”, squealed Zach. “Mom! Zach has my _______.”, whined Evan. And so it went all the way up through the end of their Christmas break. It seemed like the longest one in the history of winter breaks. I seriously thought I was going to die. To make matters worse, I was fresh out of school. For the first time in a long time, I didn’t have that distraction. With me home more, John felt he deserved a break, and left most parenting matters to me. I’m certain the grey hairs on my head have multiplied as a result.

The eve of their first day back to school, I was working the ICU. It really is a good thing my patient was in a medically-induced coma and couldn’t hear me or tell on me. The tv in his room was turned to the news, where I saw the update where the boys’ first day back was called off due to weather.

“NOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOO!”

I’m sure my wail reverberated off of the walls of the ICU, into the adjacent waiting area and throughout the rest of the hospital. Nurses from outside the room rushed in to see what had happened, as I’m not generally an alarmist at work.

That day. That day I had been dreaming of, hoping for, wishing on….My hopes were crushed. My spirit broken.

The fighting a home got worse as cabin fever started in. Snow kept dumping on us. Just when it would start to clear up, more would come. And then it didn’t. The boys were finally going to go back to school. I was relieved, and by that time, I think they were as sick of us as we were of them causing chaos.

And then that “Polar Vortex” bullshit happened. Anyone remember the “I can’t put my arms down” scene in A Christmas Story? Well, we will never have a modern-day version of that. They cancelled school because it was too cold. For not one day, but days-yep, plural. When we were kids, our parents would just bundle us up. We waited a little closer to last minute to go to our bus stops. But our bus stops weren’t at our driveway, either. Generally, we had to walk. If it was dangerously cold–as in losing digits to frost bite despite gloves or mittens—my mom would crank the heat in the car to warm it up while I was getting ready and then drive me to the bus stop, where I would sit in the car until the bus was in sight. The lowest it got here was 2 degrees, and I am sure that I remember it getting a lot colder. As a matter of fact, I just googled that and discovered we had temps as low as -25 in 1985 in Cincinnati. But they closed school. There was no snow or ice on the ground, no slick roads, no frozen pipes at the school. It was just cold.

It seemed like winter break was never going to end. John and I were never going to have a single moment of peace. Armageddon was going to strike, Hell was freezing over, and we would have to home-school the children from now on. I was on the verge, man.

Finally, on January 10th, the boogers got on the bus and headed back. They were out of school for 29 days in total. I sincerely hope they tack the extra unplanned missed days onto the end of the school year. I am now on a mission to treasure every moment of silence until June, and promise to never take a peaceful moment for granted for as long as I live.

Finally,

Lament of the Non-Nurse

12916468-doctor-wearing-latex-glove-giving-thumbs-down-sign

Healthcare is all about nursing. I understand this. With 77% of non-physician roles in U.S. healthcare being those of the nursing variety, I can understand. They are the backbone of our hospitals. I am not a nurse. I had the option years ago, and I decided that, with poop being my Kryptonite and all, it would not be a wise career choice for me. I opted, instead, to help people breathe for a living. Thus I became the respiratory therapist. That choice has come back to haunt me in several ways.

The first of these started when I wanted somewhere to go from here. Nurses have so many avenues they can take to do this: become an instructor, a case manager, management at their facility, become an NP. What can the respiratory therapist do? Well, aside from becoming a Registered Respiratory Therapist from the entry-level Certified Respiratory Therapist, which I did the month after I graduated from respiratory school, there is nothing. Bachelors programs in respiratory are just starting to emerge, but a BS in respiratory gets us no more job perks, no more pay. You just get to say you have it. The majority of my bachelors-having coworkers got theirs in “health sciences”. Whatever that means. So instead, I opted to finish my BS in business administration with the added concentration of healthcare management. But then what? If there are only a handful of BS programs, there certainly are no masters programs. But my BS is in business anyway, so the MBA was a no-brainer.

So here I am. I am one of the more educated in my department, even in the hospital. My MBA is complete. I did well. I did it. So now what? Now I find a job.

I thought this part would be easy. Well, not really easy, but not this difficult, either. Let’s discuss my situation: I have spent the past eight years of my life working in the toughest in my field–adult critical care, and eventually NICU. To the layperson, let me explain further: I am a member of a critical care team who responds the emergencies in the hospital. We are called in when you or your loved one is at their sickest. We bring our skills, experience, and knowledge to you, make recommendations to the physician based on all of the above. We communicate with other members of the team, with family members, with patients. We assess and decide, then act. Repeat as often as necessary to the point that it is second nature to us.

So what does this tell you about me? Well, it tells you I can effectively communicate with anyone. I have non-English-speaking patients, when I am most certainly unilingual. I have deaf patients, blind patients, patients who are intubated and cannot talk, trached and cannot talk. My job is to find out what is going on with them rapidly enough to act. I have become, over the years, a master lip-reader. But that’s not all. The people with whom I interact each and every day have been anyone from a PhD-holding professor who was ill, down to a man whose education was limited to elementary school before he was put to work out in his family’s fields. On our professional team, we have everyone from housekeepers and registration clerks, who may only have a high school education, all the way up to senior management and physicians with advanced degrees. I. Can. Effectively. Communicate. With . Anyone.

Now for my work. It may involve looking at lab values that seem to others to have nothing to do with the lungs, but actually do. Watching vitals. Seeing how the patient breathes. Assessing vital signs. Looking at patient history to see what clues I can find. Listening to family members who may not speak the same lingo I speak. Look at x-rays, watch for clues. And I look at all of this, and since the physician is not there, I have to decide when we need to be concerned, when to call for more help, what I can do to help. So in a split-second, I have to take in this information from multiple sources–complex information at that, compare it to the knowledge stored in my brain, and formulate a plan on how best to proceed.

And under stress. The patient is either having trouble breathing, or even has stopped breathing, when I have to do all of this. Maybe their heart has stopped. Maybe their oxygen saturation is low. Regardless, I don’t often have the luxury of being able to take my time. I need to make a decision and act now, now, now. And while nurses have anywhere from 2 to 6 patients to care for, when I go into work, I have the respiratory histories of at least a few floors’ worth of patients in the back of my mind or in notes in the margins of my printed work assignment. If you figure the average respiratory rate is 10-20 breaths per minute, and there are usually 30 patients per unit, that it 36,000 breaths for which I am responsible in one hour of work on just one floor of the hospital. And I May have three or four floors. That’s a lot of responsibility and a lot of stress.

And I have done this for years of my life.

And then I got an MBA. So I understand finance and strategy, management and business law, marketing and accounting. I have been educated thoroughly in all of the above from a nationally-ranked program at a well-respected university. Add that to the ability to communicate with anyone, the ability to work under stress, the ability to extract complex information from multiple sources to formulate a plan….Nothing should stop me, right?

Wrong.

Because I am looking through these jobs, and seeing that many of the leadership opportunities are asking for someone with a nursing background. Why? No idea. We respiratory therapists go everywhere. A nurse may be hired to work in one specific unit. I can go anywhere in a single night, giving me intimate knowledge of the work flow of every patient care area of the facility, from behavioral health up to the ICUs. And I know healthcare. And I know business. At first, I noticed this trend, and I was a little discouraged, but I figured that I would find the right role  But today, I came across a posting for a pulmonary unit. They need a director. Perfect. Except, as I scrolled down reading the job posting, toward the end, it listed a RN as one of the qualifications. They want someone with my clinical experience, an MBA….and a RN.

It is what we all deal with everyday–we non-nursing patient care staff. We are skilled, we are experienced, we are valuable to patient outcomes, but this is the hand we are dealt, and frankly, it sucks. Part of me wants to just go to nursing school for a couple of years so I can say I did. But I shouldn’t have to do this. I have worked hard. I have done well, completing all three degrees with academic honors. I have the experience under my belt. This is just ridiculous.

Nursing is the backbone of healthcare, but I have yet to see a backbone accomplish anything without limbs, without muscle to hold it upright, support it and ensure it can move and flex in the ways needed. And it’s high time that the rest of the body gets some respect.

The To-Do List

This is what I have to do this week, so you can understand my level of insanity:

For my health law and ethics elective:

  • A 12-page paper–I chose to do mine on the lack of OSHA regs in healthcare.
  • A matching presentation on the above to be presented to my classmates

For my social media marketing elective:

  • Plan a social media marketing for a local business with whom I have partnered, including an execution plan and integration with existing promotions and events
  • Read two books
  • Write a blog post and watch 2 2-hour videos
  • Present above plan to my class

For my finance class:

  • Get through another 100 pages of text
  • Get through a study guide and over 100 practice problems
  • A case study to be completed in a group
  • Get ready for what is sure to be the most difficult final exam ever.

For my capstone:

  • One more round of decisions for my fake company I have been running all semester (which has a 120% growth  in profits, thankyouverymuch!)
  • An online exam
  • 2 10-page papers
  • A review of the above operations of the fake company
  • Another simulation of a shorter duration
  • The ETS exam required of all MBAs from AACSB-accredited programs in the country

That’s this week. And I work two nights in the middle somewhere.

Now you get it, right? Because nobody in my life right now seems to understand what I am talking about when I try to explain my current stress level.

These are the Days

16 Days. Of course I type that while I am supposed to be awake putting together a 45-minute multimedia presentation on integrated marketing practices for class tomorrow. My final project for a marketing elective to round out my requirements for the almighty advanced degree. John, in his awesomeness, brewed the strong coffee for me before turning in for the night. And I can’t quit thinking. I can’t quit thinking, not of integrated marketing as I should be, but of the uncertainty of my life right now. Have you ever been in a place where the things you spend your days doing no longer feel like they are what you should be doing? Where you feel like maybe your real life awaits you, if only you can survive this short little interim? That is this place. These are those days.

My views may possibly be skewed. I realize this. There are people who have devoted their entire lives to do what I have done for the past eight years. They keep doing it, content with their contribution to the world. There is absolutely nothing wrong with that. It is honorable. I’m not selfless enough. I feel like I have spent the past eight years paying dues to the world, to my being in general. To the spirit of my mother, who died from lung disease. I’ve been a good girl, and I have been good at my job. There are, in all honesty, people who are breathing today because of the work I have done. I have been there to help babies who could not help themselves. I have been there when families have said goodbye to parts of themselves. I have wiped brows of the dying, delivered tough love when necessary, compassion when it was needed. I have put myself and my family last. And now, after all of these years of doing that, I want to do something different, and in my warped mind, I have earned that. Not because I will, in just 16 days, have a piece of paper with my name in beautiful calligraphy saying I have completed some requirement set forth from society, but because I have paid my dues in other ways.

People ask me what it is I want, and I always answer with a “we’ll see” kind of shrug. I love healthcare, am passionate about healthcare. And I want to leave some sort of mark on this industry that is on a higher level than the one I am currently leaving. And I want to do so in a way that allows time for me, time for my family.

Lately, I have been thinking a great deal about my path through higher education as a non-traditional student. Evan was about 2 when I put on a  backpack for the first time since my mom died, which was eight years before that. Evan is 12. I will finish this long road about 2 weeks before the ten-year anniversary of that first time back. And I have thought about it. I have allowed myself the luxury of pondering just sucking it up, reaching deep, and going straight into a Ph.D. program or a JD, even. And then I think of them. Of Evan and Zach, of John. And what I want is no longer about a higher degree or prestige. Now, when I think of what I want, it isn’t grandiose at all. It’s simple stuff. Little things that aren’t luxuries to most, but have been to me in these years where I have tried to do it all.

I want to come home and not have to rush off to class, be able to eat dinner with my family at a normal hour around a table with food we prepared at home. I want to watch a movie with John without worrying about homework I should be doing or, better yet, am actually trying to do with said movie playing in the background. I would love to take the boys to a movie or park on a weeknight for no reason at all. Maybe even go on a weekend hiking trip. Maybe John and I could have a real date once in a while. Or I could read a book that has not a damned thing to do with academics at all. I want to blog more. Maybe I could revamp this one a little bit with all I know about social media marketing and content creation these days. I want to join a gym and be able to go–and not some lame attempt a a resolution where I don’t have the follow-through because, hey, thinking I would even have the time for a workout each day was optimistic at best, even closer to being the world’s dumbest idea. No, I want to actually go. And work on myself a little bit, and not just on cramming my brain with as much knowledge as possible.

It’s so strange to me. When I started this, I thought, “MBA: the CEO’s degree. I’m want to be loaded.” It isn’t about that anymore. It’s about enjoying life and having the means to do so comfortably. There is only one material possession I even want, and it is going to sound worse than it is: that new Mercedes CLA 250. Sounds greedy and ridiculous, right? No, because in reality, it is only about 3K more than I paid for our current car and I bought it used. And the current car is too big for me to feel comfortable driving with my vision issues. So sounds crazy, but really isn’t. But anyway, here I am at the end, and the salary isn’t the thing anymore. The job is, the career is, the comfort is, but the money isn’t. And I am saying this about 2 days before I have an interview for a position that would pay more money than I have seen in my life–about 5 times my current salary. And now I suddenly don’t care. Well, I mean, I care in that there is a minimum I can take. I worked hard and paid a lot of money for my MBA. I can’t just give it away. But money isn’t the key determinant.

So here I am. Sixteen days from the big finish. And it feels like everything in my current life is winding down so I can start the new one. So these are the days. The days of excitement, of anticipation. Of anxiety and uncertainty. Of endings and new beginnings. Of wrapping up and starting anew. Of sheer panic mixed with resolution and calm.

These are the days I have to let go and hope it all works out, that it proves to have been worth it.

And if it does work out, these are the days I get to lean back, prop up my feet, and tell myself that after ten years, I earned every damned bit of it.

Still Alive

One day, I’ll return to writing for my own sake.

In the meantime, this is what is going on right now:

Evan is thriving in middle school. The girls are swarming. It’s bad. Last Thursday, after some really strange symptoms that had been going on sporadically, we were told that they thought he had a brain tumor. More about that experience on another day. I just can’t right now. He is seeing a pediatric neurologist in a few days and we’ll hopefully get to the bottom of it. In the meantime, I am trying not to unravel in my worry by focusing my attention on the fact that the head CT was negative. I am instead focusing on other things: that–for the first time ever–this kid has friends; that girls love him and I actually have to worry about what goes on when he is not supervised with a girl, that he is now wearing small men’s clothes, that he has that goofy ‘stache coming in and his dad is going to have to teach him to shave.

Zach is…Zach. He refuses to have anything to do with a toilet. I am tired of having to buy Pull-Ups. Or worse yet, diapers. He still sleeps in a diaper because Pull-Ups leak too much at bedtime. I would let him feel that discomfort with the idea that it would motivate him, but he just sleeps through it, thus we sleep through it, and we wake in the morning to a child with a rash and blue lips from sleeping in soaked pajamas. I cannot deal with neither the grossness factor or the health risk of that. We encourage. His preschool teachers encourage. We have purchased every toilet-learning device known to man, looking for the magic one. Currently, that is this cushie Prince Lionheart insert that seems so comfy that I wish it would accommodate adults.He has no desire whatsoever. But what is he doing? He is speaking plainly, counting, saying his alphabet, (crudely) writing his name, singing songs. (Please do not mix up the order of he verses of “The Wheels on the Bus”!) In May, this was the child who could literally say nothing that a stranger could understand. So I am not sweating the potty stuff. We’ll get there. He always does, doesn’t he? He’s still my little wonder–smart, cute,  funny, sweet.  He’s just Zachy.

John is making me proud everyday, He has lost over 50 pounds since the fateful day over the summer when a doctor I respect came to me to tell me that he could have died at any second from the blockages in his heart. His BP is down. He is down to only one medication for diabetes, and that dosage even had to be cut in half. His cardiologist cleared him to run at home after he outgrew the mild exercises at cardiac rehab. His cholesterol was actually low at his last check, so his medication for that was cut in half. The beta-blacker was stopped after he exhibited no need for it. He was wearing a size 40 waist in the summer. He is down to a 34, and those are falling off, but we’re holding off on shopping for more, since he’s built up to 2-mile runs daily–any little bit of weight he has left will melt off as his endurance gets back up there. His doctor says he only needs to lose 9 more pounds to be ideal body weight. If he loses 18 more, he will be back down to his post-boot camp weight from his Marine Corps days.

And me? I’m hanging in there. I have–wait, let me count–8 more weeks left of school. I start my capstone next Saturday. My paperwork for graduation is submitted. I am off of work. Blame some little boys who cannot seem to get their dirty laundry in a hamper. I tripped on some dirty clothes and fell down the entire flight of basement stairs on my left leg, with it ricocheting off of each step on the way down. They thought stuff was torn. Instead, I found out that every piece of cartilage in there is inflamed from the trauma. So it has been injections, PT, crutches (for about 5 weeks). I am finally to the walking stage, but only for very short trips and in transit. I cannot stand or walk for long periods at all. (Read: I can limp to my class and sit in a chair, I can walk to the car and get in it, but I can’t do shopping trips, etc.) I’m just hanging in. Also, I remember lamenting on here how I hated undergrad corporate finance. It has nothing on the 600 level.

That’s all.

I’ll be a blogger again one day, I swear,

This Could’ve Been My Kid: Toddler Boy Called A Faggot At WalMart For Wearing Pink Headband

http://www.mommyish.com/2013/07/31/toddler-boy-called-a-faggot-at-walmart-for-wearing-pink-headband/

Anyone remember Evan and his affinity for all things pink and sparkly? I didn’t really care, but I was worried for him simply because of people like the man in this article. Because people are ridiculous. And dumb. And virtually intolerant of anyone or thing different from themselves.

I remember those days. I remember having to tell my son that, while there was nothing wrong with him wearing or choosing whatever he liked, that there were people in the world who didn’t understand that and would be mean and cruel to him as a result of his different tastes. That didn’t make it okay, but as his mother, I felt it was my duty to protect him from any potential threat. I would rather he learned that lesson gently from me at home as opposed to the way this innocent little boy learned. So he expressed himself in the house, but not out in public.

Right or wrong, it was such a story as the one above that motivated me.

If I reflect back on that time in his childhood, I feel guilty. His personal preferences have always reflected his quirky, spunky nature. He is not the same as everyone else. He knows it, we know it, everyone knows it. He may have outgrown the pink, sparkly phase, but he has shown other differences. That’s fine with us. His unabashed exhibition of who he is for all who care to get to know him reflect a comfort in his own skin that many of us only hope to have at some point in our lives. I hope that time all those years ago didn’t quelch any part of that within him.

If it did, I am no better than the oaf in this story.

We all have our heads crammed full of what we should be/ think/say/do…
You’re a girl. You can’t throw a ball.
You live in the city, so you have no values.
You’re rich, so you must not know what it means to work.
You’re a man. You aren’t worth shit if you don’t solely support your family.
What do you mean, you can’t cook? Aren’t you a real woman?
You’re poor so you must be lazy.
You’re straight, so you hate homosexuality. You’re gay, so you’re a deviant.

We are who we are. That’s the world I want for my kids, in a nutshell. A toddler in the midst of discovering he is separate from his parents can wear a damned headband-pink, green, sequined, lacy-if it makes him happy. Evan can be obsessed with history instead of XBox. We can choose for my husband to stay home if it works for us. And, yes I suck at cooking anything aside from 3 specialty dishes, but I can rock out some corporate finance while keeping you alive, so that’s okay, right?

Our preferences don’t make us better or worse people. We are not less simply because we have our own strengths and weaknesses that are distinct from the person sitting next to us.

Someone needs to teach that man a lesson.

Bitchypants

I’m Having a Heart Attack or I May Just Be Bat-Sh*t Crazy

Okay, so given John’s recent fiasco where my perfectly fine husband’s heart ended up being most definitely not fine, we are pretty sensitive to anything in our house that could indicate impending death. Call us oversensitive.

10 days ago, I started having this chest pressure. It kind of comes and goes with no logical pattern at all, really. So I hemmed and hawed and mulled it over before finally just going to the ER, since it was a Sunday.

Normal EKG. Negative troponin. Negative d-dimer. Normal chest x-ray. It was deemed muscular in nature, and I was freed with a script for muscle relaxers.

Except for one problem: I am incaple on any form of consciousness on those damned things. So I have taken 2 of them in 10 days. And still, the pressure/pain comes and goes. It isn’t severe, but instead just there. Occasionally it will get bad enough that I have to stop and focus on my breathing.

So today I go to my family doctor, simply because it got bad enough that I couldn’t catch my breath and it felt bad enough that I couldn’t even focus on anything. Honestly, it reminded me of the massive squeezing done about 40 times a minute by my dysfunctional uterus just a few years back. Only not really, because it didn’t stop. And it was in my chest, just left of center.

But my tests were normal, so I have to be fine. Maybe it’s just stress. But it won’t go away. But I am under a lot of stress. But then again, I live in stress and have for my entire adult life.

But, but, but….

So the doctor asked me how I would like to proceed. And I don’t know, because the logical side of me who spent years studying all things cardiopulmonary knows it isn’t likely to be my heart. But then there is the part of me that doesn’t know what the hell it is and wants to be sure. So I told her I didn’t know, to jyst do what she feels is best.

I ended up on a proton pump inhibitor to ensure it isn’t something GI-related, a steroid to ensure it isn’t inflammation, and a stress echocardiogram just to be sure.

I’ve never had anxiety issues unless it involves John behind the wheel of the car. Now, I am questioning my sanity.

Bitchypants