The past week, John and I drove to Washington DC...to settle him in for the next 10 months.
Ouch.
He is on a project and must be on site for the next 10 months. Of course we will be seeing each other monthly at the least, but it will still be quite the adjustment. I am pretty sure Skype is in our future. I don't really have any fears regarding our relationship, nor does he, it is the not having my best friend with me. That is what I am most sad about.
I am thankful he is safe...he is not in Afghanistan..no one is trying to shoot him...so, I count my blessings.
It is just part of life we will have to endure. I will work a great deal, stay busy and get some mountain biking time in. Kate will keep me company too. I feel badly for John as he is removed from his entire environment; friends, dog, home, schedule. I recognize that is really hard.
I am sure all will be well, but it is still going to have OK days and really sucky days.
Tuesday, December 06, 2011
Hint, Hint.
You ever have the feeling of “I’m forgetting something,” when you are about to leave the house? Yeah, and if you are like me, it is always right.
How is it that the subconscious mind knows something, perceives something is amiss, and yet does not or cannot tell the conscious mind in any other manner than an odd feeling in the pit of your gut? The boundary between the conscious and unconscious minds fascinates me. The subconscious perceives things that the consciousness does not and yet still knows these perceptions are important; this evidenced by those gut feelings we all know and love.
Additionally, if you are like me, when the “you're forgetting something” feeling strikes, you go back in the house, look around and about 60-70% percent of the time figure it out. Then the feeling instantly vanishes. Wow. It is interesting how a subconscious perception can be deemed important enough to notify the consciousness, but it can’t be spelled out. It has to be a “hunch” or “a feeling.” And yet, when the thing or item or event is figured out, the notification evaporates.
Fascinating.
How is it that the subconscious mind knows something, perceives something is amiss, and yet does not or cannot tell the conscious mind in any other manner than an odd feeling in the pit of your gut? The boundary between the conscious and unconscious minds fascinates me. The subconscious perceives things that the consciousness does not and yet still knows these perceptions are important; this evidenced by those gut feelings we all know and love.
Additionally, if you are like me, when the “you're forgetting something” feeling strikes, you go back in the house, look around and about 60-70% percent of the time figure it out. Then the feeling instantly vanishes. Wow. It is interesting how a subconscious perception can be deemed important enough to notify the consciousness, but it can’t be spelled out. It has to be a “hunch” or “a feeling.” And yet, when the thing or item or event is figured out, the notification evaporates.
Fascinating.
Sunday, October 30, 2011
Update on CCRN
Wow, all that prep and I forgot to tell everyone that I passed my CCRN first time, right out of the gate! I was glad I prepared for it the way I did, as this always lowers my test anxiety. All I learned while studying for it will serve me well, but mainly my patients will benefit!
Friday, October 21, 2011
Handy Man
John has almost completed his total kitchen overhaul!! He has done a fantastic job, and it looks amazing! Granite counters, custom stained cabinets, Hickory wood floors and a black walnut bar top right off the family farm in OK!! We have done all the work ourselves, along with help from his parents as well. John, of course, has done the majority of the work, but I helped whenever I could! Can't wait to throw a party!!
Circular
My friends, Bruce, Christy and their son Gavin are staying with me right now until their new house is completed. This is the third time Christy and I have lived together and the second time all of us, save Gavin - he's only 2.5 yrs - have lived together. Even in my smallish home, it is going well! It's like revisiting a past time. I know they will be UBER excited for the new house to be completed, but I think we are having fun hanging out with one another. It was mutually beneficial, comfortable and loving! I am having great fun showing Gavin bugs and generally hanging out!
Wednesday, October 19, 2011
Juice it Baby
I bought a Breville juicer and have started juicing; not exclusively, just in addition to my regular diet. I had put on a few pounds, and after watching, Fat Sick and Nearly Dead, decided I would give it a try. That was the easiest 13 pounds I ever lost! I found I am just not craving anything. I eat,I juice, I'm satisfied....I just don't get hungry. And it's TASTY. I highly recommend it!
Saturday, May 21, 2011
Alone in the Bay
I went out for the first time ALONE to row. No one else was there, save a few people across the way fishing...I proved to be excellent entertainment.
I got the shell and me together, in the water with the oars on the correct side and disembarked without much difficulty. The wind was still up, so I just rowed in circles in the bay, working on steering, turning and generally how to get the oars, shell and me to get along and agree on what the hell we were doing. It actually went really well.
Then, came the return to the dock, or The Landing. Remember, rowing is a sport one faces backward to the direction of motion. It took three tries and some crafty oar-pulling-me-closer-to-dock action for me to finally get it done. I could not help but notice the very entertained fisherman across the bay...he just kept laughing! I supposed I could have sold tickets....
The rowing is going very well and the only down side to it is Kate ("Fuzzy Pants") can't go with me.
I got the shell and me together, in the water with the oars on the correct side and disembarked without much difficulty. The wind was still up, so I just rowed in circles in the bay, working on steering, turning and generally how to get the oars, shell and me to get along and agree on what the hell we were doing. It actually went really well.
Then, came the return to the dock, or The Landing. Remember, rowing is a sport one faces backward to the direction of motion. It took three tries and some crafty oar-pulling-me-closer-to-dock action for me to finally get it done. I could not help but notice the very entertained fisherman across the bay...he just kept laughing! I supposed I could have sold tickets....
The rowing is going very well and the only down side to it is Kate ("Fuzzy Pants") can't go with me.
Wherever You Go, There You Are
Why is it so impossible for most people to be happy 'where they are?' How is it that no matter how well an individual is doing, often times, there is this constant, I need more, I want more, this is not enough.
Is it the constant deluge of advertising? The ever-present magazine covers showing all the stuff you need in order to fit in or be accepted? That sense of lacking and incompleteness seems to seep into our everyday existence with the stealth of the latest military stealth bomber.
I have to wonder this because I am generally one of the happiest people I know an I don't have all that stuff. I don't even have cable. I have a few other friends who also believe, "You make your own happiness." This is true.
Is happiness a choice? Do you craft it out of an appreciation of much needed rain, the fact your car is paid for AND still runs well, or just that you have a roof over your head that does not leak regardless of the size of that roof?
It seems that our lives have become so fast paced we have no time but for looking forward so as not to trip over the next obstacle, but yet no time to reflect, turn around and look behind us - to be grateful for how far we have come, how much we have accomplished.
You can wish this, wish that, wish, wish, wish, but really, in the end, wherever you go, there you are.
You have to learn to be at peace with that.
Is it the constant deluge of advertising? The ever-present magazine covers showing all the stuff you need in order to fit in or be accepted? That sense of lacking and incompleteness seems to seep into our everyday existence with the stealth of the latest military stealth bomber.
I have to wonder this because I am generally one of the happiest people I know an I don't have all that stuff. I don't even have cable. I have a few other friends who also believe, "You make your own happiness." This is true.
Is happiness a choice? Do you craft it out of an appreciation of much needed rain, the fact your car is paid for AND still runs well, or just that you have a roof over your head that does not leak regardless of the size of that roof?
It seems that our lives have become so fast paced we have no time but for looking forward so as not to trip over the next obstacle, but yet no time to reflect, turn around and look behind us - to be grateful for how far we have come, how much we have accomplished.
You can wish this, wish that, wish, wish, wish, but really, in the end, wherever you go, there you are.
You have to learn to be at peace with that.
Right or Privilege?
I have been talking with people regarding whether they think medical care is a right or a privilege. I have talked with MDs I work with as well as fellow RNs, friends and family.
The general consensus of medical staff is health care is a privilege. Some friends say privilege and some say right. I found this conversation necessitates defining these terms:
Right - something a civilized, developed nation should guarantee at a basal level to its citizens. Basically the same thing as you should be able to be safe in your home, pursue whatever career choice you want and the choice of worshiping, or not, whatever deity you chose.
Privilege - something earned, bestowed upon or above and beyond those basal "Rights" spoke of earlier. Like a driver's license. You have to behave within parameters to obtain and keep you privilege to drive.
Once those definitions were hashed over, I came to think the following: I think every person should have a right of some basal level of medical care. Vaccinations, annual physicals, screenings, nutritional education; all basal levels of care that should be available to all. To me, these equate to the betterment of society and thus provide for a more productive society. An investment that benefits society as a whole, much like our public school system does now. I pay taxes and don't have kids, but I see the need for public schools.
However, there are levels to health care that are most certainly a privilege. Keeping people alive when the most honest, humane thing to do is to "let nature take its course," is not a right. As harsh as it sounds, I think if you want that for a family member, or even if you yourself wrote this out in a living will, your estate or your family needs to cough up the cash to pay for it.
There are many other instances where a much higher level of care or intervention is a privilege and should often times be denied to an individual so that greater resources are available for the society at large.
As a health care professional, the real question is this: Will these interventions (treatment) improve or return the person back to his or her previous level of function and comprehension? Will we really make something better? Or are we just prolonging death?
Once those questions are posed, one still has to ask, who is going to pay for it? The reality is someone is going to.
Our society has become removed from the fact health care is not a product, it is not something one purchases that will have perfect function and is completely full-proof in its application. If it does not do what the person receiving it expects, you cannot return it for a refund! This attitude of "It did not work the way I wanted, so now give me my money back plus pain and suffering..." well, that is the attitude of privilege.
Another recent attitude of privilege is people expect hospitals to be 5-star hotels. Hospitals used to be wards...with curtains. But our "I'm so entitled" society now thinks they need to be at the Westin while having surgery, or even just food poisoning....
So what do you think?
Privilege or Right?
The general consensus of medical staff is health care is a privilege. Some friends say privilege and some say right. I found this conversation necessitates defining these terms:
Right - something a civilized, developed nation should guarantee at a basal level to its citizens. Basically the same thing as you should be able to be safe in your home, pursue whatever career choice you want and the choice of worshiping, or not, whatever deity you chose.
Privilege - something earned, bestowed upon or above and beyond those basal "Rights" spoke of earlier. Like a driver's license. You have to behave within parameters to obtain and keep you privilege to drive.
Once those definitions were hashed over, I came to think the following: I think every person should have a right of some basal level of medical care. Vaccinations, annual physicals, screenings, nutritional education; all basal levels of care that should be available to all. To me, these equate to the betterment of society and thus provide for a more productive society. An investment that benefits society as a whole, much like our public school system does now. I pay taxes and don't have kids, but I see the need for public schools.
However, there are levels to health care that are most certainly a privilege. Keeping people alive when the most honest, humane thing to do is to "let nature take its course," is not a right. As harsh as it sounds, I think if you want that for a family member, or even if you yourself wrote this out in a living will, your estate or your family needs to cough up the cash to pay for it.
There are many other instances where a much higher level of care or intervention is a privilege and should often times be denied to an individual so that greater resources are available for the society at large.
As a health care professional, the real question is this: Will these interventions (treatment) improve or return the person back to his or her previous level of function and comprehension? Will we really make something better? Or are we just prolonging death?
Once those questions are posed, one still has to ask, who is going to pay for it? The reality is someone is going to.
Our society has become removed from the fact health care is not a product, it is not something one purchases that will have perfect function and is completely full-proof in its application. If it does not do what the person receiving it expects, you cannot return it for a refund! This attitude of "It did not work the way I wanted, so now give me my money back plus pain and suffering..." well, that is the attitude of privilege.
Another recent attitude of privilege is people expect hospitals to be 5-star hotels. Hospitals used to be wards...with curtains. But our "I'm so entitled" society now thinks they need to be at the Westin while having surgery, or even just food poisoning....
So what do you think?
Privilege or Right?
Thursday, April 21, 2011
Real Live Farm-is-ville
I’m Farm-sitting again in Farmersville...No, no not the online Facebook version but with real-live animals!
I actually had someone ask me if I sat and did farmville on facebook all weekend....crazy.
It is so peaceful out here, just some bugs and an occasional bark from the dogs...Very nice. I am taking care of their 5 horses, and four dogs and have my own dog out here with me. Everyone is actually getting along fine. Since it isn’t supposed to rain like crazy, I may even ride some this weekend. That’ll be a twist! Even though I grew up on a horse, I haven’t ridden for a while now. I’ll let you know how it goes.
Right now, I’m just enjoying the quiet.
I actually had someone ask me if I sat and did farmville on facebook all weekend....crazy.
It is so peaceful out here, just some bugs and an occasional bark from the dogs...Very nice. I am taking care of their 5 horses, and four dogs and have my own dog out here with me. Everyone is actually getting along fine. Since it isn’t supposed to rain like crazy, I may even ride some this weekend. That’ll be a twist! Even though I grew up on a horse, I haven’t ridden for a while now. I’ll let you know how it goes.
Right now, I’m just enjoying the quiet.
ANOTHER ugly standardized test!!
Wish me luck!! I have signed up for my CCRN or Critical Care Registered Nurse test. It is quite the “feather in my hat” and I hope I pass the first time!! I don’t want to take it again OR pay for it again.... It’s pricey! Work does reimburse once you pass. Keep your fingers crossed for me!!
A new adventure
I have had an over-powering urge to try rowing, or, sculling as I think it is most appropriately called. I have read some about it, and think it is right up my alley. I have been trying to get into the martial arts they way I need to in order to satisfy my need for physical exertion and it just isn’t doing it for me right now. I haven’t really taken a break from it in about 12 years, so this seems fitting. Sculling is supposed to do the same thing; be a total body workout and be super hard, sweat your butt off and exhaust you. Sounds perfect. The start up memberships and all are a little pricey, but still cheaper in the long run than my martial arts is. I will go give it a try and see. Maybe this will be my next 10 year obsession...
Thursday, January 13, 2011
My Civic Duty
I had Jury Duty today. Yeah.
I was one of 65 people who went in to answer that lengthy questionnaire regarding the case we were being considered as jurors.
This was different: It started with a power point presentation. It started with a synopsis of legal definitions and the differences in the world of legal vs the world of...well, just the rest of the world. I must admit, the whole experience was interesting as it gave a brief, slightly structured view of the legal world. I was interested. Law is a very interesting field just one I don't think is my cup of tea. I do not know if I will be called back to serve, and actually I hope not simply based on the time I would miss work. If I could avoid missing work, I would be interested to go and be part of the process.
Our system at work!
I was one of 65 people who went in to answer that lengthy questionnaire regarding the case we were being considered as jurors.
This was different: It started with a power point presentation. It started with a synopsis of legal definitions and the differences in the world of legal vs the world of...well, just the rest of the world. I must admit, the whole experience was interesting as it gave a brief, slightly structured view of the legal world. I was interested. Law is a very interesting field just one I don't think is my cup of tea. I do not know if I will be called back to serve, and actually I hope not simply based on the time I would miss work. If I could avoid missing work, I would be interested to go and be part of the process.
Our system at work!
Sunday, January 09, 2011
First Snow
It isn't just the first snow of the new year, it is the first of our winter. I have never been really crazy about holidays, but I love this time of year. I feel as though this time of year is almost a required "slow down" time, a "hunker down and recover" time. The snow is the perfect clue to rest up. I hope this new year brings less stress and more of a relaxed way of going. I have had my fair share of stress for a while.
Best new year wished for everyone. May it be filled with health, happiness and the love of friends and family.
Best new year wished for everyone. May it be filled with health, happiness and the love of friends and family.
Monday, December 20, 2010
Last Minute!!
I am finishing the shopping I need to do Wednesday. Nothing like waiting till the last minute, eh?
It is just a few little things, and it will be fun! Well, as fun as shopping can bed since I really dislike it to begin with. I do plan to take advantage of the after Christmas sales and at least look around.
The greatest gifts are still the simplest:
Laughter
Love
Health
Friends
Family
the things that cannot be bought but only gifted. These are the best gifts.
Happy Holidays.
It is just a few little things, and it will be fun! Well, as fun as shopping can bed since I really dislike it to begin with. I do plan to take advantage of the after Christmas sales and at least look around.
The greatest gifts are still the simplest:
Laughter
Love
Health
Friends
Family
the things that cannot be bought but only gifted. These are the best gifts.
Happy Holidays.
The First Christmas Without Mom
My mom passed away Sept., 22 as many of you know. This is the first holiday season without her. I am sure it will hit home a little later, but at this time, I just know she is enjoying all the lights and spirit from another perspective.
With her Alzheimer's she, and I mean "her", who she is/was - well, she was gone a long time. The season will be less painful with respect to watching her not be able to follow our family conversation and the sadness and confusion in her eyes of knowing she doesn't know but not really knowing what it is she is not following.
Wierd, I know...
We all miss her, but she is in a better place.
With her Alzheimer's she, and I mean "her", who she is/was - well, she was gone a long time. The season will be less painful with respect to watching her not be able to follow our family conversation and the sadness and confusion in her eyes of knowing she doesn't know but not really knowing what it is she is not following.
Wierd, I know...
We all miss her, but she is in a better place.
Saturday, November 13, 2010
For Health Care to Work...
There are many levels of change that are required if we really want to change health care. Here are just a few with (hopefully) brief comment.
1-Culture: The idea that "I can do what I want and live the lifestyle I want and when I need to be treated, I should get all the treatment I need regardless if I can pay for it or not."
If you have something like open heart surgery and you continue to smoke, not exercise and refuse to change your life, then you don't get another shot...especially if it was on someone else's dime in the first place. People must decide to make an investment in their own health. There is personal responsibility required. Which brings me to the next thing...
2-Doctors should be able to tell you "no." They should be able to be brutally honest with their patients, and not get sued.
3- Consequently, I think there should be greater education on the "after surgery" part as much as what the surgeon will do when he is operating on you. The recovery is very much the patient's responsibility. But the doctors have to give a realistic picture of what that recovery will entail. I hear people all the time say, "If I knew it would be this hard or like this, I would not have done this."
4- An end to the " I deserve this" mentality. EX: Patient comes in, has smokes in his back pocket, hundreds of dollars of tattoos, the latest, most expensive smart phone, and has expensive clothing and yet tells you he cannot afford the blood pressure medicine. But the patient feels like he deserves your best service, to be fed, and pampered and can be rude to the staff.
WTF??? PRIORITIZE YOUR LIFE. Because now, since the person was too idiotic to spend his dollars in the correct spot (i.e. BP meds), this person has had a stroke from too high blood pressure, his right side no longer works and is now disabled for life. Wow, the blood pressure meds are looking PRETTY inexpensive now.
5-Frivolous lawsuits. Just because something bad happens does not always mean it is someone's fault. Life sucks that way sometimes. We need a screening panel of doctors, nurses, and non-medical people with at least a 4 year degree to review lawsuits to determine if it has merit or is just bullshit.
6- And with reference to #5, doctors need to be trusted. Doctors have to order ever damn test in the world to cover their asses even when their experience tells them the tests are unnecessary. But on the tiny, minuscule chance that something can go wrong, they do everything imaginable to cover their butt. And it's ALL expensive.
7- Tell you doctor the f'ning truth. Don't lie to him because your labs won't lie. "No, I haven't used cocaine in several months." Really? Then why is your toxicology screen positive for cocaine and marijuana AND barbiturates??? Just wondering. Just tell him the truth.
We need to remember something about medicine. The reason its called a Medical Practice is because that is what doctors and nurses are doing...they are practising.
Medical care is not a product - it is not something you buy that is pristine and perfect and if it does not do what you want, you get a refund. Medical care is a service and at times, it is really hard to do. The vast majority of service providers in health care are interested in caring for their patients to the best of their ability. But it is never perfect and never full proof. With honest communication (see #7), it can be a great service.
Lots has to change for health care to get better. That change has to be in the community, in legislation, in how docs get paid and with personal responsibility. So many levels of change...
Wish us luck!!
1-Culture: The idea that "I can do what I want and live the lifestyle I want and when I need to be treated, I should get all the treatment I need regardless if I can pay for it or not."
If you have something like open heart surgery and you continue to smoke, not exercise and refuse to change your life, then you don't get another shot...especially if it was on someone else's dime in the first place. People must decide to make an investment in their own health. There is personal responsibility required. Which brings me to the next thing...
2-Doctors should be able to tell you "no." They should be able to be brutally honest with their patients, and not get sued.
3- Consequently, I think there should be greater education on the "after surgery" part as much as what the surgeon will do when he is operating on you. The recovery is very much the patient's responsibility. But the doctors have to give a realistic picture of what that recovery will entail. I hear people all the time say, "If I knew it would be this hard or like this, I would not have done this."
4- An end to the " I deserve this" mentality. EX: Patient comes in, has smokes in his back pocket, hundreds of dollars of tattoos, the latest, most expensive smart phone, and has expensive clothing and yet tells you he cannot afford the blood pressure medicine. But the patient feels like he deserves your best service, to be fed, and pampered and can be rude to the staff.
WTF??? PRIORITIZE YOUR LIFE. Because now, since the person was too idiotic to spend his dollars in the correct spot (i.e. BP meds), this person has had a stroke from too high blood pressure, his right side no longer works and is now disabled for life. Wow, the blood pressure meds are looking PRETTY inexpensive now.
5-Frivolous lawsuits. Just because something bad happens does not always mean it is someone's fault. Life sucks that way sometimes. We need a screening panel of doctors, nurses, and non-medical people with at least a 4 year degree to review lawsuits to determine if it has merit or is just bullshit.
6- And with reference to #5, doctors need to be trusted. Doctors have to order ever damn test in the world to cover their asses even when their experience tells them the tests are unnecessary. But on the tiny, minuscule chance that something can go wrong, they do everything imaginable to cover their butt. And it's ALL expensive.
7- Tell you doctor the f'ning truth. Don't lie to him because your labs won't lie. "No, I haven't used cocaine in several months." Really? Then why is your toxicology screen positive for cocaine and marijuana AND barbiturates??? Just wondering. Just tell him the truth.
We need to remember something about medicine. The reason its called a Medical Practice is because that is what doctors and nurses are doing...they are practising.
Medical care is not a product - it is not something you buy that is pristine and perfect and if it does not do what you want, you get a refund. Medical care is a service and at times, it is really hard to do. The vast majority of service providers in health care are interested in caring for their patients to the best of their ability. But it is never perfect and never full proof. With honest communication (see #7), it can be a great service.
Lots has to change for health care to get better. That change has to be in the community, in legislation, in how docs get paid and with personal responsibility. So many levels of change...
Wish us luck!!
Saturday, October 23, 2010
To Begin Again
I have recently (and finally!!) found a new martial arts program. It is training with people I have trained with before but who are developing a new style.
MaruDo is the style name and it most resembles a combination of traditional Japanese Karate and Ike Jujitsu. Weapons will be incorporated as well but it will be later. The Ike I knew would take forever to learn, but I still love it. The Karate I knew would be different but I thought might be easier to get on board with.
But, alas, I am wrong.
Having to retrain and unlearn 10+ years of muscle memory is a pain in the butt. It is coming along but a constant vigilance is required in order to learn and unlearn. Not to mention getting all of those muscles back in that kind of shape! Every class leaves me drenched in sweat and sore for a couple days after.
I totally love it.
I really am enjoying this new style because of how it incorporates many different aspects of the many branches of martial arts. The Karate half mandates that the body be a whole piece (very Tai Chi), moving in a continually connected fashion both physically and psychologically. The power you can generate when you “get it” is fantastic, but it is hard to do when 10 years is arguing against you! It feels so fluid and lighting fast, it is just going to take slow, steady practice to get there.
But that’s OK, as I am a patient woman. Anything requiring sweat, personal growth and perseverance matched with continually sore muscles is my cup of tea, and yes, my cup is empty.
MaruDo is the style name and it most resembles a combination of traditional Japanese Karate and Ike Jujitsu. Weapons will be incorporated as well but it will be later. The Ike I knew would take forever to learn, but I still love it. The Karate I knew would be different but I thought might be easier to get on board with.
But, alas, I am wrong.
Having to retrain and unlearn 10+ years of muscle memory is a pain in the butt. It is coming along but a constant vigilance is required in order to learn and unlearn. Not to mention getting all of those muscles back in that kind of shape! Every class leaves me drenched in sweat and sore for a couple days after.
I totally love it.
I really am enjoying this new style because of how it incorporates many different aspects of the many branches of martial arts. The Karate half mandates that the body be a whole piece (very Tai Chi), moving in a continually connected fashion both physically and psychologically. The power you can generate when you “get it” is fantastic, but it is hard to do when 10 years is arguing against you! It feels so fluid and lighting fast, it is just going to take slow, steady practice to get there.
But that’s OK, as I am a patient woman. Anything requiring sweat, personal growth and perseverance matched with continually sore muscles is my cup of tea, and yes, my cup is empty.
How Hard is Too Hard?
One of the docs and I got into a discussion about the future work ethic of the medical field. He is a well experienced MD, and is a little aghast at some of the changes in medicine happening with each passing day. He told me that new MD's have mandated naps and breaks in long 16 hr shifts, don't do surgeries the day after they are on call were a few of the "changes" that administration has put into play in an effort to reduce medical errors. His research indicated that none of these changes had made any difference in error rates over the last few years.
His question was this; when a patient goes south and it's an "inconvenient time" will the new MD's being trained today be able to deal? He sees that the work ethic is just not there. Not to say these newbies aren't driven and determined, but sometimes the only way to be ready is trial by fire. Medical training is supposed to be awful and hard and difficult with sleepless nights because when it goes badly, you need to have walked that path before. Residency is when you are worked to death so you learn how to keep surviving while there is still a safety net.
Twice this week we have had patients crater at really bad times. One had to go to surgery from 12 Am to 4AM - that MD had already put in a 12-13hr day seeing patients. The other was on the unit. That MD had finished open heart surgery 4 hrs before and ended up massaging the person's heart with his hands for an hour and 40 minutes in an effort to save the patient. This had to be done with the bare minimum of resources as it was on the unit and NOT in the OR.
The only way to be able to deal in those situations is to have been forced to do it before.
Some things are supposed to be hard. Otherwise everyone would do them.
His question was this; when a patient goes south and it's an "inconvenient time" will the new MD's being trained today be able to deal? He sees that the work ethic is just not there. Not to say these newbies aren't driven and determined, but sometimes the only way to be ready is trial by fire. Medical training is supposed to be awful and hard and difficult with sleepless nights because when it goes badly, you need to have walked that path before. Residency is when you are worked to death so you learn how to keep surviving while there is still a safety net.
Twice this week we have had patients crater at really bad times. One had to go to surgery from 12 Am to 4AM - that MD had already put in a 12-13hr day seeing patients. The other was on the unit. That MD had finished open heart surgery 4 hrs before and ended up massaging the person's heart with his hands for an hour and 40 minutes in an effort to save the patient. This had to be done with the bare minimum of resources as it was on the unit and NOT in the OR.
The only way to be able to deal in those situations is to have been forced to do it before.
Some things are supposed to be hard. Otherwise everyone would do them.
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