Saturday, September 30, 2006

Flexibility the new "F" word


You can tell fall is a upon us. Not just because of the wonderful changes in the foliage, the crispness in the air, the fall root crops almost ready for the picking. But from a medical stand point. With the change of seasons comes the change in the kind of patients we see.

This past set of shifts I have seen a significant rise in respiratory patients. This is very common this time of year. People who suffer from asthma, or bronchitis or people with chronic obstructive pulmonary disease(COPD), the smokers or ex-smokers seem to have difficulties with their breathing. There is a theory that the respiratory patients conditions are exacerbated by the change in temperature and/or the increase in moulds and other environmental factors.

What that means for me, is that in the ICU I see more patients requiring the need to be put on ventilators(breathing machines). In my 3 shifts this week we have had 3 patients on ventilators. When I worked I in the big city that was not unusual, actually that was the norm. But for the small ICU that I work in, that is a lot. These were young patients as well, early to mid 50's. It has made for busy shifts. But I like that. I have always liked working with ventilated patients they always present with a challenge. Even though their main reason for being in the ICU is for airway management, one can't ignore the person as a whole. One system does not work alone, they are intertwined and you have to remember that anything could go wrong at any given moment.

The one thing that I find that gets overlooked is the pychosocial needs of these patients and their families. As evident by my shift last night. I didn't have the ventilated patients last night but I worked with the patient next to the ventilated patient and I observed the interaction of the nurse/patient/family. I was disturbed by it. Don't get me wrong, the care the nursing was giving the patient was exceptional. It was the nurses need to control the environment that I took offense to.

You see in ICU or any critical care environment we try and set visiting hours and control the amount of traffic in and out of the ICU for numerous reasons. But the primary reason is for patient care and safety. I would hate for a family member to coming walking in while I have their loved one beared to the world while I am either performing a procedure/treatment, or giving a simple bed bath for that matter. Hence the visiting hours are set to allow for patient rest time and time for the RN to perform her duties.

Now with that being said. Does flexibility ever enter anyone's head. I call it the new "F" word "Flexibility" . I can't believe how strict and controlling some of the RN's can be. I know change of shift can be crazy or when the new patient comes to the ward from ER or OR we need to assess the patient and settle them in. But after that I think it is fare game to let the families in. The role the families can play in the recovery of the patient is paramount. Rather than medically sedating the patient, just having their loved one nearby helps decrease the level of stress and anxiety the patient is going through.

This RN last night was just not going to have any of that. Granted it was change of shift when the wife showed up for the patient, and wanted to see her husband. So yes she needed to wait at least until report was over with. Then the nurse should have gone out and told her that she was just going to do an assessment and then she could come in. That nurse left that woman out there for over 45 mins. I thought that was terrible. It would have made the world of difference for the patient and the patients wife had the RN let her in even if for a few mins. Then explain to her what is going on and ask if she could step out for a bit and then come back. "Flexibility" people........Jeesh!!!!

I get so frustrated with this kind of control. I think maybe it had something to do with my many years as a palliative nurse. I enjoyed having the families present. They often would participate in the patient care and it made them feel good as well as the patient.

I believe the same stands true in ICU. I firmly believe that the families play an integral part in the patients road to recovery.

Ok I will step down from my soap box now.

Stay healthy everyone. Wishing you all a fantastic weekend.



Tuesday, September 26, 2006

I need a rest....Better go to work...



Well hello all. I just wanted to post a thank you to all of you who posted a comment on yesterdays topic. See below. I think we are all of same mind. Safety first. Keep lines of communication open. Don't snoop!! I think that just about sums it up. Thanks all!!!!


I finally got my draft done for the October 6th story. It wasn't as easy as I thought. I am really excited about reading all of your posts. I want to thank Cathy for taking the time to organize all of this and to link the post thus making it a little simpler for all of us. Thanks Cathy, you rock girl.


I am back at work tomorrow. Going back on my set of 4. It's funny, I am of mixed feelings about going to work tomorrow. I haven't been able to put my finger on it. I have had a fare amount of personal stress as of late and have noted my temper being short. There is a part of me that is looking forward to going to work for the change of pace. Getting my brain focused on everything else but me and what is going on in my life. Then there is a part of me that just wants to take care of what has been started and get it done and move on.

My patience is running short. My poor Douglas has been the brunt of my short fuse as of late. I hate to think that it is my hormones running havoc with my life. But I fear there may be some truth to it. I just seem so short with people. That is not like me. Damn those hormones. I feel like a crazed woman at times. How can this be. I recognize that it is related to "that time" . It's ok for me to acknowledge it, but for Douglas to say anything....Well he may as well run for the hills.

As I said earlier, I am hoping that going to work will help me refocus(is that even a word?). Chill out and forget about what is going on at home. And maybe just maybe when I come home after being away for almost 14 hours, things will have miraculously taken care of themselves. My mood will have returned to some form of calm.

None the less I wish you all a grand day. Smile and remember to say something nice to a loved one.

Cheers all!!!

Monday, September 25, 2006

A morale dilemma


This picture was taken last spring...The boys first visit. Isaac is the one on the left. The boys were 12 and 10 at the time.

I was chatting with my step son Isaac online today. We were talking about his father's blog. You see, his dad has just started blogging as a way to journalize his life experiences, some good some not so good.

Anyhow, Isaac highlights a part of his father's blog that he tells me he liked the best. Here it is:

"The court battles ensued. Thousand upon thousands of dollars were spent trying to get her to bring them back. My finances ran out and so did my strength to fight. I regret that to this day, that I gave up the battle. I regret it because I feel I didn't give up on me but on my boys. It devastated me to this day."

I was astounded that this was what he choose. Out of all the things his father said, he choose this segment. It made me cry. I was thinking , maybe it was this, that provided some clarity for him. Something that made sense to him out of all that had happend. He tells us his mom still speaks unkindly about his father, and still doesn't tell him the truth. I try not to get into that with him. I was not on the scene when his parents broke up so I feel I can not comment on things that I am not privy too. That is not my place.
My place is to let him know that I love him very much, to be there and to talk to him whenever he wants to chat. I just want him to know he is so very loved out here and that our door is always open to him. He tells us that he would love to be back here. He says this is still home to him. I love that kid.

His father asked him if his mom had seen his blog. Isaac said no. He didn't want her to as a matter of fact he tells us that he wipes out all of his IM conversations because his mom's boyfriend checks his computer.

This presents a morale dilemma for me.

As a parent, we want to make sure that our children are safe and aren't going to any illegal or controversial sites. But what about his privacy? Where does that come into play here? Do children have rights to privacy? For example, when my girls kept journals, they would leave them laying about, there would be times I did feel tempted to read them. But I couldn't, I couldn't read their journals. I believed that as a parent is was my responsibility to attempt to keep lines of communication open. Let my girls know that I was always there for them. I would often ask about their day, who they were hanging with, what was going on at school, who was dating who. All that kind of stuff. I am sure to this day that there are things they have kept from me. But I always trusted them and they knew it. And I respected their right to privacy.

So, if Isaac is chatting with a friend online talking about how he is feeling, do we as parents have the right to violate that privacy? I don't know....I honestly am having difficulties answering that one. If I acknowledge that IM conversations can be construed as a form of journalizing then do I have a right to read his IM conversation? My gut tells me no. But then as we all know if you put something on your computer you run the risk of it becoming public property.

So, here is what I am thinking. I think his mother's boyfriend should ask permission to see his computer. He should make him very aware what it is he is looking for. Isaac if he so chooses should be present when the boyfriend is checking his computer. If it is websites the boyfriend is checking up on, then that should be it. He shouldn't have carte blanche to check his personal emails or IM conversations at least not without Isaac's permission. I believe there should be a trust factor. I think that if they knew Isaac well enough that it wouldn't even be an issue.

I don't know. I am no expert here and I am sure I have made my share of parenting mistakes. I would love to hear what some of you have to say about this.

Her story...

She sat there motionless, almost catatonic. Not knowing what to think.

Life had not been easy for her. She struggled for everything she had achieved in her life. Sacrifice should have been her middle name. She was not a martyr. Oh no. She would not accept handouts or pity. If she was going to make it in this world it was going to be on her terms. She never wanted to be beholden to anyone. Life was full of choices, she knew it. She had made choices. Some good, some not so good and some down right awful. But they were her choices. One of her choices which she regrets to this day, was giving up the love of her life.
He was offering her security, a home and a life of leisure. This was not in the cards for her. Not now anyways. Or so she thought. She couldn't see herself settling down, not now, not after all she had worked for. Love was just one more of the sacrifices she made.

As she sat there contemplating what had just transpired, she couldn't help but wondered how could this have happened? She knew that in her climb to the top she had to turn a blind eye to some of the goings on. She knew that there were people out there that just wanted to see her fail. They were just waiting for the opportunity to make their move. She didn't want to believe it. She didn't want to believe that mankind could be so cruel.

However, today, she saw the dark side of mankind. She realized that yes mankind could truly be that cruel. She knew that things would never be the same. Then without warning, just as if she had been struck by a lightening, it dawned on her. She had become what she feared the most, "an innocent victim of a lie told in silence."


That is my short story. Now pour youself another cup of java,put your feet up and read on. Below are more short stories by fellow bloggers all using the same ending. Happy reading everyone! Enjoy your day!


Dr. Jordan from In My Humble Opinion Wolfbaby from "Dreaming and Believing"Moof from "A Moof's Tale"Kim from "Emergiblog"KT from "Kt Living"Difficult Patient from "Ripple of Hope "Jasmin from Shadow WriterEmpress Bee (Of the High sea)PK from Pearls and Dreams The Laundress from Dirty LaundryThe Wandering Author of The Unending Journey Of The Wandering Author Amin from Write-NowWho Wouda Thunk It From Another Day In Paradise Brian from Truth is FreedonAt Your Cervix (R.N.) from At Your CervixDr. A. From Dr. AnonymousIpanema from Irish CornwallMay From About A Nurse

Nice autumn day


Here we are, fall is upon us. Like many of you I love the colours of autumn. My camera is broken right now, and that is something I have already put on my Christmas wish list.

The other day while Douglas and I were out for a drive, we saw nature at it's finest. We were travelling along a seaside road and looking out at the water. There was this mystical mist just hovering over the water. A little eery but facinating at the same time. I wish I had my camera. You know what they say, a picture says a thousand words.

Then there was the Blue Heron.
Great blue Heron

It was so majestic. Perched on a piling. A sight to behold. Where was my camera. These are amazing birds. They nest around where I live. We have one right now that frequents our area.

Oh my wish for a functioning camera. My binoculars are great, and give me such satisfaction. But I would love to share with you what I am blessed to see on a daily basis.

I am finding the blogger slow today with uploading pictures. So I shall leave it at that.

Hope you all are having a fantastic day.
Cheers from the westcoast!!!

Saturday, September 23, 2006

How can this be....tagged twice in one day....


Sunset from the beach just down the road from us.


Susie tagged me on this one it's "Words"


Candy: Red Twizllers. They are great for road trips.

Beach: Long Beach here on the westcoast of Vancouver Island
LongBeachThis is an amazing place,nature at it's finest. The winter storms are incredible!!!

Season: Fall. I love the colours of fall. I love the crispness that is in the air.

Pet: "Bert" our dog. See my previous post on Bert that just about says it all.


There they are. So I am to pass on 4 more words. Which I will do. Or you can use the ones Susie passed onto me. I am not going to tag anyone. If you would like to play along, go right ahead. Just leave me a note telling me you posted your list on your blog so I can come and check it out.

Delicious

Sport

Cuddly

Happy

Cheers All!!!! Happy Autumn weekend!!!

Friday, September 22, 2006

I've been tagged and here are my responses....

Well I got tagged by "Janet". I am suppose to tell you what are my 7 favorite songs. Wow that is a hard one. I love all kinds of music. My hubby loves country music and has really got me into that genre.

However, as I said I like all kinds of music so here are my 7 pics:

1) "Will you go with me" by Josh Turner (country)
Josh Turner web page

2) "These Words" by Natasha Bedingfield (soft rock)
Natasha bedingfield

3) " Where the streets have no names" by U2 (alternative)
U2

4) "Joking" by Indigo Girls (alternative)
Indigo girls

5) "No more I love you" by Annie Lennox
Annie Lennox no more I love you's

6) "Heads, Carlonia, Tails California" by Jo Dee Messina (country)
Jo Dee Messina

7) "Loves Divine" by Seal
Seal

And now I have to pass this on by picking 7 of you:

so here you are:

TJ
Motherkitty
Cathy
Susie
OncRN
Pea
emergiRN

I am so happy......"Look mom see what I can do!!!"

Ok...This may not seem like a big deal to most of you who have mastered this blogoshpere, but this is huge for me. I know I went to a few of your sites and cried.....Sorry about that....Just got so darn frustrated with the whole thing. Anyhow, a colleague of mine walked me through the blog world.....WOW....I feel like I need a PhD to figure out all that computer jargon on the templates. Seems to me there is a lot of hit and miss involved.

As you can see I have been able to change my background....Thought the autumn theme might be nice. Then learned how to add you all to my link list. Oh I feel just a kid in a candy store!

Now I am going to get really brave here. My friend also showed my how to do a link in my post.....So here it goes.....Here is a link to my little town of "Qualicum Bay" where I live on Vancouver Island. Qualicum Bay
Map of the Island

The map shows Qualicum Beach....I am between Qualicum Beach and Bowser.

Ok I am not going to push my luck now.....Hope you enjoy the visit to my little town!

Thursday, September 21, 2006

Man's best friend




Bert at 2 months


So here is man's best friend. Or so they say. Bert is certainly one of my best friends. The vet tells me he is half golden retriever and german shepard. Doug and I think there is some kangaroo in him, as he jumps so much. Anyhow Bert gives his unconditonal love and attention to me every day. The way he greets me at the door when I have come home from a long day. I kick my shoes off and he's right there beside me.

You know we got Bert from the SPCA. Best decision we ever made. There he was sitting in the kennel, that one ear just flopping over. He was so adorable and affectionate and irresitable. A tad skiddish, but over all a sweet puppy. So home he came with us.

Oh he did the usual thing that puppies do. Chew shoes...and of course it is always the dress shoe he goes for....and it is never both shoes...it's always just one...so you get frustated thinking...well what can I do with one darn shoe. Hmmm....guess it's time to clean out the shoe closet. Oh and let's not forget the legs on the dresser table...that's a chew toy isn't it?

Ah, and then there are those suprises he leaves for you in the morning...you know what I am talking about, it's when you take your last step down the stairs and low and behold your foot enters this semi warm cold puddle of something......please god don't let it be what I am thinking it is.....paper towel and mop become your next best friend. That is when dear Bert gets aquainted with the outdoors.

This is dear Bert at 4 months old. He can now just make it so when he is standing on his hind legs he can see what is going on inside. "Hey let me in" I believe would be running through his head at about this point.

Ever notice how your shopping day now includes a visit to the pet store. Ah yes the 50 lb bag of puppy food, the little doggie treats he gets just because, and extra treats while you are trying to train him. Or how about those annoying squeeze toys and chew toys. You know even if you buy those toys he is still going to want to chew on your shoes and the leg of the couch or dresser....it's just a given, but you buy it anyways.

Even though Bert has had run of the property, there are times he is on a chain...which is about 30 or so feet long. Then there are also walk times. At first I wondered who was walking who. His high spirit and eagerness to explore this new world would just overcome him. He would forget he was on a leash and charge off...and at times I swear he took my arm with him. Doug always thought that Bert would be a good companion for me while I did my runs. Well I can't argue with him there...but my goodness who was running who? Doug did have to step in and do the more serious training. Bert now is a treat to take on walks and runs, even on the trails. Oh he bolts ahead...his tongue hanging, I turn right....oooops "Bert this way"....he comes a charging almost knocks me over....gosh it's fun....LOL...makes for a very interesting run.

This is our Bert he's about 19th months here.

The kids love him. He is such a playful dog. Well behaved. The kids are always tukered out before him. The only time I can remember Bert getting exhausted was one day when my daughter Candice took him for a run. She was on her bike and and he followed along. It was a 7 km trip to the lake. Then to cool off she takes him for a swim....this is not just your ordinary swim this was about a 1km swim there and back. After the swim it is the 7 km trip back. Oh our poor Bert....I think he was done in for a day afterwards.

Anyhow, our dear Bert brings us much love and enjoyment. He is a huge part of our family.

Just another 12 hour shift.....

I guess one reason I shouldn't attempt to post at 0130 is the fact that I can actually run the risk of hitting the wrong key and wiping out what I just spent over an hour typing. Dang!!! Note to self.....

Anyhow, I guess this way at least I will make this post brief. I was telling you all about my week thus far. It started on Monday up at 0500 and off to work by 0600.

I arrived at work and my patient assignment was a 53 year old gentlemen admitted with a diagnosis of a stroke. I go in to the patients room and introduce myself telling him I am going to be his nurse for the day and proceed to chat whilst I was doing my morning assessment. That conversation alone told me so much what was going on with him...that becomes part of my assessment. Anyhow, NVS look improved over night shifts assessments, GCS has always been 15. It's about 0900 now and I go into his room just to check up on him. He tells me he is not feeling well, like he did last night. He does look worse than from original assessment. I quickly do another NVS....notable difference....stat CT ordered and off we go. Results come back negative for a bleed. But why then is he having stroke like symptom? He needs to be seen by a neurologist. We don't have one on site. This means he needs to get down island. That is a 3 hr drive. Ambulance is booked for the transfer. Guess who gets to go with him? You got it....Yours truly. Well the ambulance arrives...great I say off we go. No such luck....dang now what. Oh you have to take another patient. This patient needs a pacemaker and gallbladder surgery. Great and he needs to go monitored as his heart rate dips into the low 20's. Hmmmmmmm....ok then....if he has to be on the monitor I decide I am going to put the pacer pads on him, because if he becomes symptomatic I can turn the external pacer on and pace him. We get loaded into the ambulance. Me the two patients and all of the equipment that goes along with it. 3hours in the back of an ambulance with these two gentlemen. OMG...just get me there.

3 hrs later we are there.....First stop I take the stroke patient to the admitting ward and give report, say my goodbyes and wish him well. Dash back to the ambulance and off to another hospital with my cardiac/surgical patient. Get him settled in. Back into the ambulance for the 3 hr drive back north to my hospital. I'm into overtime at this point. I don't get home until 2100hrs and have to be up again at 0500 for another day shift, and here I am now it's what....Tuesday...nope Wednesday nights and I am on my 1st night shift. Dang I am tired.

You know many people ask me why do I do it. Work these crazy shifts, and deal with all the crap we have to deal with during the course of a 12 hour shift. You know, sometimes I ask myself the same question.

It's when I see that I made a difference for a patient even if it is the simplest thing as getting them a warm blanket, or a jug of fresh water, or listening to one of their stories or just holding their hand, letting them know that someone cares, that I care about their well being. That I want them to be healthy and that I acknowledge that being in the hospital may be foreign and frightening for some of them, and trying to help eliviate some of those fears.

I wish you all good health.

Sunday, September 17, 2006

Sunday morning traditions

It's Sunday morning, and here I am chomping on a piece of toasted multi grain bread covered with peanut butter and half a banana and sipping on a latte made by my loving husband.

Ah, Sunday morning traditions. I remember, when I was growing up Sunday mornings were crazy. Mom and my eldest sisters trying to get us all fed dressed and out to church. I am not sure how they accomplished that. Especially, what I call a holiday Sunday. Those were the Sundays that an actual holiday fell on. Mom always made a special breakfast for those occasions. They always started off with half a grapefruit sprinkled with sugar, then came the "sugared cereal". You knew it was a special day when the surgared cereal came out. Sure beat the cream of wheat or the porridge routine. Then came the scrambled eggs and sausage and toast. Gosh I loved those mornings. So after devouring the breakfast everyone would be frantically running around the house getting dressed for church. Do you have any idea what it is like sharing a bathroom with 5 older sisters. I didn't see much mirror time. Thank god mom always had us wearing hats to church. I think this would be a great spot to post a picture of us in our Sunday best. Oh my goodness when I look back on some of those pictures it just makes me laugh. This picture was taken in 1964, my youngest brother wasn't even born here. That's me on my mom's lap. What a crew, can you imagine trying to get this group moving on a Sunday morning....LOL




Do any of you know what I am talking about? Your Sunday morning traditions or routines. It's funny how we become creatures of habit. I mean now, I can't think of starting my day without my piece of my multi grain toast. The sound of the washing machine going and music playing on my computer.

I can only imagine my girls memories. I to had them dress for all occasions. It just wasn't Easter Sunday with out your white gloves, and bonnets. I was trying to find some pictures to share. Maybe next time. Do you remember Sunday dinners at grandma's? Again, you had to dress up, no jeans allowed was the rule and heaven forbid you tried to show some self expression.

Ah, Sunday's the only day of the week I can remember my dad taking half day off.

"Tradition! Tra di tion!" Think Fiddler on the Roof......they make for fond memories.

Have a great Sunday all!!!

Tuesday, September 12, 2006

Thank you.....and a strange thing happened

Let me start off by saying thank you to all of you who visited my site and posted a comment regarding my tribute to my mom. Yesterday was a very hard day for me.

To distract myself from my grief, I managed to get my sorry butt outside and went for a power walk/jog with my daughter Candice. It was lovely. Walking/jogging through the trails, the cool breeze coming from off the water, the eagles and ravens in the background making their calls to let us know they were there, the sun shone through the leaves like little arms and hands reaching out to touch me, to caress me, to give me peace and serenity. It was soothing.

I spent a lot of time yesterday reading tributes for those who lost their lives on 9/11. The tributes were all so very wonderfully written. Some of you provided great detail about a person you made your tribute to, even though you did not know the person. Others wrote briefly about the person and then more about how their loss had impacted us all. Regardless, in one of my comments to a fellow blogger who was worried that she didn't say enough or have enough information about the person she was doing her tribute to, I say to her, the mere fact that she took the time to research this persons life and dedicate her blog to them was tribute enough. I can't thank all of you enough for what you did. Not only for the families and friends of the deceased but for me. I met some wonderful people through your tributes that I would have otherwise never had gotten to know. Thank you. May god bless you all.

Now the strangest thing happened to me this morning. Please don't think me odd, as I don't even know what to make of it myself.

I was sitting in my livinging being distracted by some program on TV, when I looked out my window and saw this little white dog, it looked like a Jack Russell, I think it had one faint brown spot on it, and it had a dog collar and tag, a pink tag I might add. Anyhow, the oddest thing....as quickly as this dog came into my view it was gone. I observed it meandering in my yard, as though it was checking things out. It came around my car, towards my dog Bert(who was on his lead at the time), but Bert did not bark, or growl or anything. Bert would normally bark to intruders or when he sees the bunnies wonder across the drive, or when my in laws have visitors, Bert barks. This time, he didn't bark. The dog wandered down in front of my car towards Bert and then I think it turned around and headed towards my in-laws place. My hubby was just returning home through the trail which leads to his parents place, Bert barked at Doug. Doug came in the back door and I asked him if he saw the Jack Russell. What dog he says? I told him what I saw. He shook his head. His mother is a breeder and is selling puppies right now and has had visitors at her home so I asked Doug if she had someone over and if the dog could belong to them. No was his answer.
I started to get a little distraught....so still in my housecoat I make the trek up and around our drive to the road(my drive is gravel and treed and wild, the road leading to my home is gravel, country living). I look both ways, no sign of this dog. I walk back down the drive and look over at my in laws place ..my mother in law is not even home.

Did I really see a dog? We don't get strays here....never....not where I live...what did I see? Why didn't Doug see the dog? Why didn't Bert bark? Hmmmmmmmmmmm........

My friends and family sometimes call me the amateur Sylvia Browne. I don't know about that but I have seen and heard some strange things in my life. I don't feel like this is the case in this time....or was it? What I do know is that I am bothered by it....... I can assure you I will be on the look out for that Jack Russell today......

Hope life is treating you all well......

Saturday, September 09, 2006

In Remembrance of my mom


Kathleen Sandford nee O'Connell
August 9th 1926 - September 11th 2005

"Our Wild Irish Rose"
She was born of Irish blood. Her parents were from County Cork Ireland, she was born at home, in Liverpool England August 9th 1926. There were five children in her family. She was baby number four. Times were not easy, her father had been injured while working in the mines and was unable to work, her mother was a maid and took on odd jobs to make ends meet. She told me stories of her early years how her father would take her to the park and was always free with the hugs, her mother worked hard and was industrious.
This is my mother at the age of seven years. My grandmother made this costume for her for a school performance "Little Bo Peep" circa 1931
Mom tells me she spent lots of favourable summers in Ireland with her cousins. During the war she stayed there for a period of time with family. She tells me of times during the war however when she was at home and the sirens would go off warning you to take shelter and how her older brothers would sleep through them.
My mom was studious and took to school well and passed her exams which allowed her to continue her education through to graduation. A luxury in those day. It wasn't long after graduation that my mother met my father at a dance. He was a dapper looking man something out of vogue tall with the Mediterranean olive skin a captain of a ship he was it was love at first sight. English was not my father's first language but that did not matter to my mom, he had won her heart. They courted for a short period of time. But my father had to leave for the seas but did not do so without asking my grandfather for my mother's hand in marriage. She was 18. (See picture above)They were married on November 28th 1945.
Mom and dad immigrated to Canada in 1953 with five children in tow the youngest only 3 months old. They made the trip by ship and landed in Montreal, where they caught the train and made the arduous trip to Vancouver. They arrived on Canada day July 1st 1953 with only $35 left to their names. My mother's brother met them and assisted them with setting up home.
They worked hard, long hours trying to make ends meet. By the time I came along they were well established. I was baby number ten out of twelve. My mother never worked outside the home. She was busy raising all of us. In the later years she did the books for my father's business. I never felt like I went without. All 12 of us went to private schools and graduated. By the time I was eight things were becoming a little easier for my parents. Summer holidays for me were spent boating with my parents.
Mom made special occasions special. It was imperative to my mother that we dress for all occasions.
This is one of my favorite pictures of my mom and my sister Eileen(now both deceased).
Mom made every occasion special, and celebrating one's birthday was no different. She made sure it was your special day.
She was a volunteer extraordinaire. If she wasn't helping out with some program at the school or driving the soccer teams or basketball teams to games. She would be organizing fundraiser for numerous organizations. She was one of the founding members for the "Burnaby Association for the Mentally handicapped" She instilled her sense of community responsibility in all of her children.
In her later years she was "Gran" to most and why not. She had 32 grandchildren and 7 great-grandchildren. There were always cookies in the cupboard for their visits. While she still had the energy she would even babysit.
Mom's memory started to decline in her early 70's and eventually was diagnosed with Alzheimer's. She spent her last years in a nursing home. They were so good to her there. The staff there called her the "Queen Mom" and she loved it!! Her health began to deteriorate and in July 2005 mom was diagnosed with Cholangiocarcinoma and was taken from us on September 11th 2005.
A day doesn't go by that I don't think about that remarkable woman I call my mom. I feel honoured to have had her in my life for as many years as I did.
"A rose once grew where all could see, sheltered beside a garden wall, And , as the days passed swiftly by, it spread its branches, straight and tall. One day , a beam of light shone through a crevice that had opened wide- The rose bent gently toward its warmth then passed beyond to the other side. Now, you who deeply feel its loss, be comforted - the rose blooms there- It's beauty even greater now, nurtured by God's own loving care."


Love you mom.....missing you every day.

Thursday, September 07, 2006

Li fa......Part 2......

Let me start by saying thankyou Cathy, TJ, and Motherkittey for your kinds thoughts and well wishes.

I am finally home. Never had the lumbar puncture, couldn't get in to see a neurologist on the Island for 3 weeks. My sister wasn't going to settle for that. She insisted I get my butt over to the mainland and be seen by a neurologist over there. I took her advice, caught the 10:45 pm ferry to the mainland on Tuesday night. Arrived at my sisters exhausted at approx. 0130 but happy to be there. Slept a few hours and then off to the hospital.

OH my gosh......I forgot how big that hospital was. I arrived and waited to be seen for almost 3 hours. When I did get seen , things started to happen. After providing the doctors(all 5 of them I might add)with a synopsis of what had been going on, they began their tests. I asked myself, how many times can I open and close my eyes for them, smile, puff up my cheeks, raise my elbows have bright lights shone in my eyes and drugs pumped into my body? Well 12hours later, 2 CT's (one with contrast one without)more blood work, and a complete neurological assessment, drum roll please...... and the diagnosis is........INCONCLUSIVE!!!!! Actually, in all fairness, they did rule out a stroke. Which I am extremely thankful for, but they were unable to actually figure out why the temporary amnesia, loss of sensation, slurred speech et al. What they did tell me is that is was a possible complicated migraine or TIA, and that because of my history and presentation that I was at risk for a stroke. They have referred me to a Heart and Stroke Clinic and to be seen by the head neurologist. So there you have it as I know it. September 13th I have to travel back to the mainland to see the neurologist and have more tests. But all in all, my spirits are better, my headaches are subsiding, legs starting to feel better. So life is grand!!!

On another note. September 11th. I know for many of you this is a very special day of remembrance ....and rightly so.....I to hold that day special, not only as a remembrance of the tragedy that took place in New York and Washington. But it is a day of remembrance for my mother. On September 11th it will be the first anniversary of my mothers passing. So I willing be dedicating my blog in my mother's memory.

Now I have to catch up on all of you..........

Thursday, August 31, 2006

Oh Life ( 2 syllables.....)

Oh that brings back memories......As my crazy morning unfolds memories of my father fill my head. My father was Croatian he spoke 6 different languages. English was his 6th language and my mother taught him that, needless to say he have a heavy accent. Gosh I loved his accent. Anyhow, I digress. We were playing a lively family game of chirades, it was my dad's turn he had to do the movie "The meaning of life" a Monty python flick. Anyhow you all know how the game goes, "1st word so many syllables etc etc." well he got to the word "Life" to him it had 2 syllables....the team lost that round....but oh how we laughed. Little did we know at that time that a very and I mean very fond memory was created for all of my brothers and sisters. The way he broke down the word Life and his expression was so powerful.....to this day we use it, especially when we are feeling exsapireted. It just seems to be the right word to use with those inflections.

So my crazy day starts.....up early for an appointment in town. I'm exhausted as I had little sleep the day before due to me working night shift. Anyhow, attend the meeting. Go home do my house chores, and then off to our basement suite to prime and paint. Trying to get the darn thing rented for middle of next month. Then my man calls me and says lets' go golfing. I don't golf, but it is such a glorious day and the golf course is nestled in a bit of a valley with the mountains for a backdrop. We golf 9 holes. That was enough for me. This is all I remember about yesterday.

We arrived home. Apparently, I cooked us some dinner, I sent out some emails.....I have know recollection of this. The first thing I remember was waking up still with my jacket on wondering what had happened. I freaked....my husband was asleep on the couch, I tried and tried to wake him up...I shook him.....I started to hit him with a pillow....wake up I keep screaming "what happened I say, what happened?" He finally wakes up. Flustered, as to why am I hitting him with a pillow. I am freaking at this time....I have no recollection as to how I got home, what time of day it was nothing. Blank! My head is pounding feels like it is going to explode. Doug calls his parents to come over. I am still hysterical freaked out.....I felt like someone had drugged me. Doug calls the doctor...tells him what is going on. Doctor tells him to take me to ER.

My head feels like someone is playing the drums on it...the nausea and wretching weaken me. The ER is a 40 min drive from house. We arrive they take me right in. My asthma starts to act up they put o2 on me and give me a ventolin treatment. Doctor comes, order a CT scan of my head, chest xray, blood work. All come back normal. He wants to admit me as they don't know why I had the "black out" was it a seizure? was it a TIA not sure. They want me to see a neurologist and have an EEG and maybe MRI, but that is in Victoria a 3 hr drive from me. I opt to come home and be under the care of my husband until such time that an appointment is confirmed. There instruction to go back to ER if anything happens again, and in the meantime, no driving, bath with only minimal water in the tub....and just relax. I am so sleepy. Got to go.....I'll keep you posted. Oh Li fa!

Wednesday, August 30, 2006

Oh to play tourist ......

Well I took a couple of days off from the blogoshpere...well sort of. I took Dr. A's advice and decided to surf the blog world. Visit my daily blogs and others. There is so much out there. WOW!!!

But yes I did take a wee bit of a break. A dear friend of mine daughter got married on the weekend. That meant a trip to the mainland. Yahoo!!! Well no not really. I don't know about you, but I was brought up that you can't go away and leave your house unteady. So it seems that I am always making sure the laundry is up todate, the bathrooms are cleaned and that the dusting and vaccuming is done. Why do I do this? It seems so futile and adds stress to an already stressful situation which I have created myself. I often get anxious about getting ready to go, did I remember this, did I do that, did I pack my stuff and my hubbies stuff and the gift..blah blah blah..... My hubby thinks I am crazy for doing all the house chores before I leave. But I must tell you when I come home it is nice to come home to a clean house and that I can throw on a load of laundry without there being a pile of it already waiting for me. OH and then there is the garden to water, make sure the dog has enough food and water before the inlaws come over to check up on him. Then the rush to the ferry. Can't book a spot those spots are all taken. What one can we make...it is Friday afternoon...hmmmm....will we make the 5:00 or will it be later? So we end up stopped blocks from the cashier hut for the ferry. I say to my man.....guess we aren't going to make it.....think positive he says.....no we aren't going to make it. Sometimes, I like to play this game with myself. If I tell myself we won't make it and we do...I get pleasantly surprised and if we don't it's like see...I knew we woulnd't make it. I don't know why I do that...I just do. Unbeknown to us they put an extra ferry on. We didn't make the 4:30 but we did make the 5:00, we were one of the last cars on but that was ok. We got on!!
It was warm on Friday and where we ended up parking the car on the ferry was very close to open space and you could look out if you chose to which we did....but I also had the top down on the convertible and just let the sea breeze hit us....it was glorious.

An hour and half later we arrive on the mainland. It is still pleasant out so the roof stays down...driving we go, only to run into traffic. If you have ever driven in Vancouver you know what I mean. On Friday evening one of the major bridges that goes into Vancouer was closed hence diverting the traffic in the direction we were going.....back log!!!! Oh how I love the city....NOT!! We make it to our destination, I am exhausted, the preparation the driving the traffic...I just want to put my feet up and have a glass of wine and chill. My man has other ideas...he wants me to take him out. This is your town he says show me something. Well, I didn't want to....we had a tiff. I went to bed. Upset and didn't sleep well I awoke at 0530, made coffee went out on the patio and looked out at the inlet and the sun rising. It was a beautiful sunrise bright orange, the air was crisp and clean....the mountains looked so majestic.....mmmmm. My man awakes, and he comes joins me....we hug and kiss and make up....nice start.

Later that morning my sister calls and we decide we are going off for a power walk.....the wedding is at 5:30 so gives me lots of time to just chill. It's 2:00 in the afternoon and my hubby asks me if I have seen the grament bag that has his dress clothes in. No I say...is it in the trunk? Nope. OMG!!! forgot it at home....how could that be. So off we go to the shop to try and find him something to wear. We did very well found something in no time. Actually I liked what we got more than what he originally was going to wear. It's time to go. I forgot the address. OMG!! Quick call to my daughter who is also going to the wedding, get the address and off we go. Do you know where u are going is the question, of course I do.....my old stomping grounds...well sort of. I take a wrong turn...it's 5:00....panic.....call my sister.....she redirects me.......I get onto the right road only to discover we have to travel 2 km up a dirt road.....it's 5:25.....thank god the bride is always late. The wedding is outdoors....the sun is still shining...I am sweltering......The ceremony was lovely, the dinner grand, the music and entertainment very enjoyable....it was a nice evening until I thought I would eat a scallop which was on a skewer next to a shirmp....shirmp.....not my friend.....my lips start to itch...and swell.....my man rushes to get my antihistamines and puffer. Yikes. Then someone at the wedding fell. My girls knowing I am a nurse comes looking for me. Can you check her out she asks....Always a nurse....I checked her out....she seemed fine....she pulled her hamstring...told her no high heels and rest it...and no dancing for her tonight. My hubby and I danced...and danced lots...it was nice evening.

The next day I have lunch with my daughters and then rather that wait in the lineup to get the ferry home. I decide to take my man on a tour of the city. So off to the West side we go. Larcarno beach, Jericho.....the water is inviting and the sailboats look so grand. So up to the universtity endownment lands we go....the multi million dollar properties with their views....then off to Stanley Park we go through the park and then head over to the other side of the water and through the British Properties....more multi million dollar homes....and make our way to the ferry. It has been another long day. We get on the 7:00 pm boat. Home by 9:20....put on a load of laundry and off to bed I go.....0500 comes early....I have to work Monday morning.

Thursday, August 24, 2006

My faith in mankind....challenged again

Have you ever been in a situation where you let someone's opinion influence your opinion before you have even been able to make an assessment yourself?

I think that might have happened to my yesterday.

My day starts with answering a callbell even before listening to report. A frail patient in Room 1 asks me for another blanket. "Of course" I come back with a warmed blanket put it up against her shivering body and cover her with the remaining linens. She tells me that feels wonderful and asks me my name and if I going to be her nurse today. I tell her my name and inform her I have just come on shift and I have not yet been given my assignment, that I am just going to listen to report after report her nurse for the day will be in to see her. She settles and off I go.

As I leave her room I wonder what's her story. She looks sweet and gentle, enough, maybe a bit unkept, and frail. Why is she here?

Then comes report. Drug overdose is the admitting diagnosis. Was found passed out in a vehicle and someone called 911 and she was brought into ER with decreased level of consciousness(LOC). IV started, catheter insitu, and put on cardiac monitor, and up to ICU she goes.

Glasgow coma scale (GCS) 7 on admission improving to 12 by 0600 assessment. The report I got is that she has a history of illegal drug abuse along with prescription drug abuse and apparently was in ER 4 days ago, and put in 4 point leather restraints. Not a good report and I say to myself, what am I going to be faced with today.

As I was heading towards her room she calls again. I say to her, "well lucky you I am your RN today" We have a pleasant enough chat while I am assessing her. But all the while I am thinking....are you telling me the truth....how much of what u are telling me is fabrication...what really happened last evening. During this time her GP arrives, and assesses her as well. The GP and I leave the room. He tells me that is was not an intentional OD but rather a situation of all of her medication being on board and that she needs to stay so he can sort them all out and figure out which ones will work best for her. Sounds like a plan to me.

She calls again, and into her room I go. "So I get to go home and let my cat in" Yes, the doctor has given you a supervised pass to take care of personal business and that you must return by 1400 hrs. Of course she responds.

My antenna goes up and my gut starts to tell me there is something just not right here.....I ask her about how she manages her medications at home. She tells me she uses a dossett and that she pre-pours a weeks worth and then throws the bottles around the room so she won't take extra. Hmmmmmmm......antenna up higher now, doesn't sound like normal behaviour to me. So I ask her, if you take today's dose in the morning and in the afternoon u go to your dossett and see that there are no pills in the dossett for today are you convince you have taken your meds. No, I take more was the answer. Hmmmmmmmmmmmm....... On her previous admission she was positive for all kinds of drugs, so I ask her straight out...do you use street drugs? NO was the response I don't drink either.....hmmmmmmm. I was working at trying to build a trusting relationship with the patient, so that she would feel comfortable enough to come back from her pass. The time comes for her pass. There is no one there to pick her up...she says she has to go downstairs that they will meet her in front. I am not confident that this is the case. But I can't hold her, I have her sign the daypass form and say...."See you at 2:00"

My colleagues all say she won't be back. No I say....she will come back...I told her 1400 hrs. It's 1350 and no sign of her. Then the call. It's her. She says she can't get a ride back until 1800hrs. Hmmmmmmmmmm.....I make the shift supervisor aware. We decide to give her until 1900, shift change. If she doesn't come back she's lost her bed. I make her GP aware. She'll be back I say to myself. My colleagues are joking with me now.. asking me what planet I am from. It's 1820 get a call from her GP asks if she had returned. No. It's 1840, call from GP he tells me he has contacted her and that she will be in within the 1/2 hr....she had to arrange a ride. HMMMMMMMMMMM ....heard that one this morning. It's 1900 my shift ends. She has not returned.

I so wanted to prove them all wrong. I wanted to prove myself wrong. This pre-conceived notion that she could not be trustworthy, that she would not follow the plan, that she would not return. I wanted to believe she would come back. Even though I was being fed this notion that she would noncompliance.

Naive? Maybe....I just wanted to have faith in her.....I wanted to believe what she said .....but that notion given to me in the morning that I should take what she said with a grain of salt reared it's head. Could I have done something different?

Tuesday, August 22, 2006

A sad day...........

It is a sad day. I was speaking with a friend on the phone this morning catching up on what was new who's doing what etc. When she starts to tell me that a colleague we both had worked with passed away tragically yesterday morning as a result of a motorcycle accident on a notoriously dangerous bridge. I was shocked. The strange thing for me was that I was speaking with my husband about the accident yesterday, as I had heard it on the news while I was driving home from work. The newscaster was saying that the bridge would be closed for all of the morning rush hour, and that people should think about taking alternate routes. I was telling my husband that I bet someone got killed. It is a very narrow bridge built in 1937 and never meant to carry the volume of vehicles it does nor the type of vehicles that cross it daily. Back in 1937 there still would have been the odd horse and buggy crossing that bridge, but now it has huge semi trucks logging trucks all kinds of vehicles. It's suppose to be a 4 lane bridge, but really only wide enough for 3 lanes. That bridge if built today would not have met code. There has been talk for years to have it widened and dividers put down the centre, but nothing has happend.

But back to my now deceased colleague. It appears he was heading home on his motorcycle and travelling to fast and lost control of his bike and went head on into the guardrail and died instantly. He was only wearing one of those "beanie" helmets. Those helmets have been banned everywhere in Canada except BC. Personally I don't think any helmet would have saved him in this case.

How tragic, he was so young, in his early 30's. His poor family. I saw the picture in the paper today and of course the paper makes it clear it was his fault. They don't put a face to the name, they don't care that he has a family. The fact that they are moarninig his loss today. Just that it was such an inconvience to the morning commuters.

I have choosen to use Purple as my colour for this post as in some cultures it represents mourning. So out of respect, purple it is.

Rest in peace my friend. And now you can soar with the eagles. God bless.

Monday, August 21, 2006

Proud mom and her girls.......


We had a grand weekend!!! Very blessed and fortunate that I am able to spend time with my girls...and that they actually like spending time with me. You know what I mean...that stage they go through when they think their parents are the last people on earth they would want to be caught dead with. Guess I should consider myself fortunate that they even want to spend time with me. Anyhow, my girls tell me they think I am ok. Wish they thought that I was hip or cool or something like that. But then maybe even using those terms dates me and just demonstates how unhip and cool I really am.:) Oh but I try. They make sure I stay in touch with the current fashion trends...what you mean I can't wear my jammies and ball cap to the local store? Oh they cringe when they hear I have done that.....maybe I will just keep that one to myslef . Oh the joys of parenthood. I get to be the nerd all over again.....and who says life can't repeat itself?

The graduate.......


Introducing.....my Candice......she did it...she made it through high school. I tell you there were some moments when I thought she would never get there....Grade 10 was the worst....oh that transition year. Then came grade 11 she kinda got an idea of what she wanted to do with her future and started to apply herself. She graduated with honors. Yeah!!!! These are some of the proofs she had done for her grad pics....I go the big one in the bottom right corner...have it in a huge print.....she has the most amazing eyes.......the sparkle is just who she is....proud mom...what can I say.