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Conclusiones Posted August 10, 2006 3:41 PM Hola… Since many of you have long anticipated this most current blog of mine, I am very happy to report that life is good here in Baltimore and that although many of us are a bit sad that the summer months have flown by, it has been a good one!!! Firstly, an official welcome to the new kids of SON who have already finished their summer courses and are now on vacation - and anticipatory welcome to our new mates starting up in just a few weeks. This summer has proven to be a brilliant learning experience for me; I have just finished a summer internship at Johns Hopkins Bayview hospital and will remain there throughout the course of the year as a “Nurse Associate”, a fancy Tech but brilliant nonetheless. There were a hand-full of us in the same program as well as many other of our buds working in various hospital and healthcare settings throughout Baltimore and the US - not sure if anyone went abroad for the summer? I think the general consensus was that our summer jobs in these particular settings made what we had learned the previous year at SON finally make sense, at least to some degree. Aside from work there has been some traveling, some tubing down rivers, the WORLD CUP!!!!!!!!!!!!!, an occasional mojito/margarita - sometimes one of each… Good times. So to all of 2007 coming back to SON for round 2, and to our new friends starting year one and those returning from vacation, safe travels and we’ll see you in Sept. ~ Ciao ***** Spring Fever Posted March 5, 2006 4:31 PM Friends, Greetings once again from lovely Baltimore. It has been a good long while since my last little blurb. Actually, I think the last time I blogged was at the beginning of the semester. I have been slacking as a blogger, which was brought to my attention a couple of days ago by the lovely miss Minette, a fellow blogger who apparently has “one-upped” me with her latest blog posting. With that, here I am, blogging once again to tell you all tales of life at the SON. It has been pretty crazy around these parts as most of us have been condemned to books and massive amounts of studying and writing papers and care plans - fun stuff! But, we are all making it through and only have one more week until freedom. A badly needed and much anticipated spring break awaits us all. This semester got up and busy from day one and has been a fairly challenging one. All in all, not too bad heading into the final stretch of the first half of the semester. I am in the process of finishing my psychiatric mental health rotation, which has been beyond interesting to say the least. After break, labor and delivery…this should prove to be a very unique experience and I am pretty excited about this next rotation because I do not really know what I am getting into. That and one of my best buddies from home just had a baby girl last week - now I get to have a glimpse of what his wife and he probably went through. So what’s going on with all of you? How are you doing? Kind of feel funny writing things down and telling you about life here in Baltimore and SON and not having any reaction from the “audience”. Maybe that’s a good thing, not really sure. I wanted to send a hello to all of the accepted students that I recently had the pleasure of meeting. Seemed to be a very cool bunch of people, hope you enjoyed the trip. Feel free to send a hello and any questions you might have - promise I’ll be better at responding to your emails than I have been catching up on my blogs. With that, I leave you. Must share some of this time with my pharmacology book. Be well, take care and I’ll be sending out another email sometime soon…most likely from beautiful sunny and warm Massachusetts! Ciao ***** Winter Vacation Posted January 17, 2006 5:47 PM Friends, I am still on vacation and this is a very strange feeling, having been on vacation now for about 5 weeks. No complaints, it has been wonderful. Just returned this morning from a trip out to Santa Barbara, CA visiting my sister. If you have never been able to take the time to check out this part of Cali, well the entire state…better yet the entire west coast, it is certainly recommended. The roads are amazing, tucked into the cliffs overlooking a Pacific Ocean so immense - it was fabulous and all I could do was watch with envy as countless motorcyclists engulfed the 101 on every kind of bike imaginable. Great trip; I think I have a better understanding why my friends in the program from Cali are very excited to get back to Cali and indulge in the nursing world, California style. So this is my second blog - no sure how I am doing with this blogging thing. Attempting to still figure out what it means to be a true blogger, but hey, if you all are enjoying this I can keep it coming! The countdown has commenced, 5 days + a little bit and ticking until our second semester begins. I mentioned that it has been strange to have had this enormous block of time off, and it has quickly passed as we all knew it would, but know I am staring at 5 days of freedom before it all happens, again! And not that it is a bad thing…I think many folks are excited to see how a full out clinical rotation, 16hrs a week, will be and how the last semester of their SON career will finish up. But the very badly needed break that has so quickly left us will certainly be missed. Well then, I hope this one finds you all doing well. To the friends of SON still on break, enjoy! See you all very soon. Ciao! ***** 4 months in a flash Posted December 31, 2005 10:05 AM I think I had forgotten how quickly the time passes when assuming full time student status once again…4 months in a flash! Hard to believe that my first semester has already come and gone. My section finished up its last final December 16th and it was certainly time. All in all, a great semester and I think it is safe to say that we were all certainly ready and needing this break. Back home here in Massachusetts with family and friends, thus far, a very nice and relaxing break. Had a chance to get down to NYC before the Christmas holiday and walk around the city. I also have a quick California/Baja Cali west coast trip planned with my sis before we get going Jan 23rd on semester number two. To all who get a chance to read this, Happy Holidays and a very safe and healthy New Year! To my fellow mates @ SON, enjoy the remainder of your break. Look forward to seeing you all in 2006! Ciao. ***** Coming Soon... Posted December 21, 2005 12:18 PM To tide you over until I make my first post, here’s some info about a program that I’m involved in at the school. Programa Salud works with Baltimore’s Hispanic population. Check out this article in our school magazine, Johns Hopkins Nursing, to learn more about the program: The Language of Healing
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For your viewing pleasure Posted Sunday, June 3, 2007 2:41 PM At long last, here's a link to some of the photos from our Haiti adventure. Click the following link to see Meghan's top 277 photo picks... and remember that these are just a fraction of the photos we took!! http://picasaweb.google.com/mebodkin/MeghanSTop277PhotosFromHAITI 
***** Day 6, Holistic Care Posted Sunday, June 3, 2007 2:35 PM We had an early start this morning in an attempt to stretch out our last full day in this incredible country. Uncle Marion, our host’s uncle, led us on an herbal walk. At age 81, he is quite the character and can identify the “miracle” plants that cure anything from kidney stones or prostate cancer to upset stomach or worms. Two of the students ordered and received special teas for their respective ailments – we have our fingers crossed for them! Today, we walked much of Jeremie as we made final trips to many of the sites of our week’s work. We spent our morning huffing and puffing up the mountainous terrain to the Missionaries of Charity where we did health education to about 40 children. Jessa, the germ, wowed the children as she danced around to explain where germs live and how washing hands, covering for coughs, and brushing teeth will help keep germs away. A giant soap, giant toothbrush, and a giant hand whisked the big germ away. This health lesson was quite the spectacle, but as the Sisters do not allow photos to be taken inside the compound, our descriptions will have to suffice. Just imagine Jessa with Groucho Marx glasses and a hot pink feather boa – wouldn’t you be afraid of “germs” too?? Teaching through song reiterated the message and the children enjoyed playing decorating ‘healthy teeth’ with stickers and crayons. Afterwards, we crossed the breezeway to the men’s side of Missionaries of Charity. These men live at the complex for hospice care. Patients include both the old and the young -- from diabetic amputees to cachectic and frail victims of unknown maladies. We spent our time massaging their sore muscles and tired bodies. Often, it felt as though we were simply rubbing their bare bones. As we made our way down the rows of metal beds, the men began to line up for their massage. Those who are well enough to sit outside came in and lay down, awaiting their turn with the nursing students. It was an act of the most basic nursing care and reminded us of the sheer power of human touch. The men showed their appreciation through their smiles, their relaxation, and the light in their eyes. Making our way across the street to the women’s hospice care center, our patients were no less grateful. The women had heard that we were at the Missionaries of Charity compound before our arrival, and the ones who are able waited for on the porch benches. What started out as hand massages for the women turned into full body rubs, as each directed our attention to other weary body parts that needed massaging – feet, temples, backs, and even bellies. When they had finished with their massages, the women went inside for a craft activity. We had brought along colorful plastic beads, and giggles filled the room as the women made bracelets for themselves and for their bedridden fellow patients. To have something extraneous, something out of the ordinary, and something of beauty – this was extraordinary for them. Once again, the power of touch and individual attention proved amazing. Working at the Missionaries of Charity was the perfect way to end our week in Haiti. Providing holistic, basic care was exactly what the patients – and we – needed. There’s a lot to be said for medical advances, for expensive drugs and technology. But in an area like Jeremie, where much medical care as we know it just isn’t available, a return to basic, low-technology nursing proved quite effective. The activity was intensely moving for both patient and student nurse. If the experience alone wasn’t enough, the Mother Superior at the Missionaries of Charity of Jeremie gave each of us a medal to express her gratitude. They are small medals of Blessed Mother Teresa of Calcutta, which have been touched to her tomb in Italy, making them very special for believers. “Blessed” is the first step to sainthood in the Catholic Church. After our last meal at Place Charmont (a very un-Haitian dish of pizza, complete with ketchup sauce), we went out on the town with our translators, FanFan and Moondi. Even our fearless instructor Beth, who had been laid up since Thursday after a “spectacular” fall down the rained-on steps of the dining area, trekked down the mountain in the dark to “Oasis,” where we enjoyed a few last (cold!) Prestige beers and danced in the dark bamboo-curtained club. Early the next morning, we loaded up our bags and headed back out of town. Our luggage was much easier to manage this time, as much of what we had brought was donations to leave in Haiti. Arriving at the airport, we waited for about an hour for our puddle-jumper plane to come, and then we took off from the dirt runway and were gone. The plane ride allowed us a few last spectacular views of Jeremie’s beautiful landscape -- an incredible end to an incredible week. Though our trip was short, it made quite an impression on all of us. We learned so much about public health nursing, about cultural competency, about humility and humanism. Even after returning to Baltimore and resuming our usual activities, a part of all of us remains in Jeremie. ***** Day 5, Plan C Posted Thursday, May 10, 2007 11:51 PM They say the hardest part about public health nursing is getting to the patient. Case in point: today we just couldn’t get there. We had planned to cross the Grand Anse, the river that shares the name of this region, to conduct our final adolescent health fair. Mother Nature had other plans. The rain that fell throughout the night caused the river to rise too high for our snorkel truck to cross. Clad in our classic white and blue uniforms, we dispersed out across the muddy, rocky, pot-holed “roads” of Jeremie. Team 1: Out to downtown Jeremie to the Aka-1000 mill to see how protein enriched flour is made which is distributed by The Haitian Health Foundation to combat malnutrition in women and children. Team 2: Hopped in the back of a van with Sister Sophie, a nurse midwife from India, to provide prenatal care in a mountain village. Oddly, they crossed the Grand Anse using a bridge. They screened mothers using a high-tech portable sonogram and a tape measure. Team 3: Who says there’s no “I” in team? Our lone ranger braved the language barrier with an “English translator” to a village heath post where local midwives convened for their monthly educational session reviewing postpartum danger signs and contents of birthing kits provided to them containing clean razors, gloves and other various supplies necessary to ensure a safe birth. After our tasty lunch of granola bars and trail mix, we reconvened in the afternoon to observe primary and prenatal care in various settings. At the Center of Hope, directed by a German national, prenatal care was facilitated by Haitian and Cuban physicians and nurses and students assisted with counting fetal heart rates and measuring gestational age with a measuring tape. Meanwhile, across town at HHF, patients, dressed in Sunday’s best, braved the heat and their own discomfort, to seek care. Patients waited in the halls to be seen with a range of ailments such as toothaches, malaria, gastric pains, STDs, arthritis and hypertension. Health care concerns prevalent in the United States were echoed with Haitian care providers such as patient adherence, availability of medicine and concern for the price of receiving treatment. As hard as it is to get around Haiti, everyone manages to get here. From India, Cuba, Germany, Canada and our very own charm city. Practice in global health nursing presents itself with barriers related to culture, language and training. Our time in Haiti has demonstrated that passion for providing care transcends political, economic and language obstacles. Somehow, we all understand each other sharing laughs and hiccups in translation working to empower a community. As hard as it is to get around Haiti, everyone manages to get here. From India, Cuba, Germany, Canada and our very own charm city. Practice in global health nursing presents itself with barriers related to culture, language and training. Our time in Haiti has demonstrated that passion for providing care transcends political, economic and language obstacles. Somehow, we all understand each other sharing laughs and hiccups in translation working to empower a community. As hard as it is to get around Haiti, everyone manages to get here. From India, Cuba, Germany, Canada and our very own charm city. Practice in global health nursing presents itself with barriers related to culture, language and training. Our time in Haiti has demonstrated that passion for providing care transcends political, economic and language obstacles. Somehow, we all understand each other sharing laughs and hiccups in translation working to empower a community. As hard as it is to get around Haiti, everyone manages to get here. From India, Cuba, Germany, Canada and our very own charm city. Practice in global health nursing presents itself with barriers related to culture, language and training. Our time in Haiti has demonstrated that passion for providing care transcends political, economic and language obstacles. Somehow, we all understand each other sharing laughs and hiccups in translation working to empower a community. As hard as it is to get around Haiti, everyone manages to get here. From India, Cuba, Germany, Canada and our very own charm city. Practice in global health nursing presents itself with barriers related to culture, language and training. Our time in Haiti has demonstrated that passion for providing care transcends political, economic and language obstacles. Somehow, we all understand each other sharing laughs and hiccups in translation working to empower a community. As hard as it is to get around Haiti, everyone manages to get here. From India, Cuba, Germany, Canada and our very own charm city. Practice in global health nursing presents itself with barriers related to culture, language and training. Our time in Haiti has demonstrated that passion for providing care transcends political, economic and language obstacles. Somehow, we all understand each other sharing laughs and hiccups in translation working to empower a community. As hard as it is to get around Haiti, everyone manages to get here. From India, Cuba, Germany, Canada and our very own charm city. Practice in global health nursing presents itself with barriers related to culture, language and training. Our time in Haiti has demonstrated that passion for providing care transcends political, economic and language obstacles. Somehow, we all understand each other sharing laughs and hiccups in translation working to empower a community. ***** Day 4, We are lovin Haiti more... Posted Thursday, May 10, 2007 8:23 AM Waking up this morning at the top of the hill overlooking Jeremie the skies were dark and it was quieter than usual, even less humid, and even a little chilly? Running up the mountain, the roads, so filled with pot holes that the pot holes have pot holes that the ruts are roads unto themselves and the footpaths wind their way through the road. The roads were strangely clear today, everyone preparing for impending rain. After our breakfast among the flowers and trees at the top of the mountain we pile into the old school land rover and head down the mountain for whatever adventures Haiti brings today. We get dropped off at the Center of Hope, a maternal waiting home and treatment center for children with Kwashiorkor’s (a malnutrition disease when children don’t get enough protein). The maternal mortality statistics in Haiti are staggering (1 in 17 women) so the Center of Hope is one more way to try to help bring these statistics down. At the Center of Hope after a tour and orientation to the center we split into two groups – half of us going to the pediatric health education and vaccination area and half of us working with the amazing nurses (and one doctor) who were doing post partum and some pre natal visits. Though the nurses we were working with are “only” LPNs, they do some amazing work assessing diagnosing and educating the patients. I think all of us are struck here by the possibilities of the nursing role that we have seen. The nurses in the health education and vaccination center were equally adept in their work riling up the crowd of over 50 women and their children who show up for education according to age for nutrition and baby care. We all feel pretty confident in our abilities at administering vitamin A, oral polio and DPT to squirming babies under the tutelage of the Haitian nurses. We also had the unique experience of meeting some doctors from Cuba who are part of the Cuban government’s outreach to other countries. They are in Haiti, as they are in other countries around the world, giving medical care, aiding health institutions and training local doctors. The Cuban doctor who spoke with us was amazingly humble in her expression of her work and her desire, the goal of the entire outreach effort, to work in a culturally appropriate way that would aid Haitians to be able to meet their own health needs without outside assistance. Humility was in fact the theme of the day – after getting stuck in a phenomenal rain storm that only lasted for a bit, we went to visit Eve Rose. As we arrived at her house we tromped up the steps to be met by little children, many many little children, who kissed our hands and wished us Bon Soir. Eve Rose runs, far beyond an orphanage, a home for children, a spot of grace. She has 75 children of all ages who are clean and healthy orphans, those who no one else wanted, but Eve Rose’s heart envelopes them all and the sense of pervading calm and kindness is profound. We played with the children, we toured their home; we held them, took pictures of them and then in a surreal moment that can only happen in Haiti, only in Jeremie, the children assembled their band of discarded instruments and played. From what was discarded something beautiful emerged and in the shining faces of the children playing and the littler ones clapping, it was hard to believe that this was not a family … somehow of 75. After clapping and cheering we felt obliged to return some bit of entertainment and led the troop back down to their courtyard playground of cinders. We sang our new favorite health song (Bon Sante – Good Health – sung to the tune of Father Abraham with crazy actions … it’s a long story). Every single face broke into a smile as we danced together and sang together; taking turns one American song for one Haitian - a cultural exchange, a human exchange transcending our lack of Creole. The culminating moment was when the children sang an American hymn about lifting up the name of the Lord – the spirituality that Eve Rose professes evident in the way the children help each other little paired with big and vocalized in both Creole English to not a dry eye in the humble courtyard. Humbled we could only say thank you and after hugs and kisses and pictures and writing down the words to songs we knew to add to the impressive repertoire the kids already know. Humbled we are seeing in Haiti immense need tempered by immense kindness – from the malnourished child who offers us a seat, to the nurses who wade to meet us in the middle of the linguistic divide, to the people who open their homes and hearts to us, to the Cuban doctors who are giving free service to a people not their own, to our host who has made this her life’s work, to Eve Rose whose family numbers over 400 orphaned children finding a home in hers and grows with child she plucks from the street and each heart that is touched by her family. Humbled, every one of us would be happy to not get back on the plane on Saturday for at least few more days in Haiti to offer whatever help we might be able to offer, and yet humbled to know that it wouldn’t be enough, but that it would be accepted as if it were. ***** Day 3, Do you miss us yet? Posted Tuesday, May 8, 2007 9:53 PM We have experienced more in our first six hours today than most people in America experience in a lifetime. The day began with traditional Haitian pumpkin soup, and then we took a land rover down the bumpy mountain to the Haitian Health Foundation, where we were introduced to the KOMBIT program. This specific model of intervention is the only one of its kind. However, it is not widely implemented, despite great results, due to its expense. The health workers from KOMBIT showed us an entertaining and informative skit, including a ‘pregnant’ man and hand-stitched uterus and baby, courtesy of our very own Sara Groves. Afterwards, we got to experience downtown Jeremie for the first time. The market was a sensory roller-coaster, complete with smells of drying fish, flies swarming raw meat, and fruits of every color being sold from every available ground space. Our pictures will soon follow… The next event was visiting the Missionaries of Charity orphanage and hospice. The children in the center are not all orphans – many actually have parents but their parents are unable to care for them. The sisters there only take in the sickest children and so the children we saw were severely malnourished and the evidence of kwashiorkor and marasmus were all around us. This was definitely one of the most heart-wrenching experiences so far. It was extremely hard not to cry in front of the children as we rocked the babies or played with the toddlers. Thankfully, we get one more opportunity to work with the children and the hospice this Friday when we come back and do our health education. One of the last amazing sites of the day was the weekly ferry boat that transports hundreds of Haitians from Jeremie to Port-au-Prince. The boat should only really hold about 300 people to be safe, but today it was packed to the brim with about 800 people, livestock, and produce. Sometimes people will even row out as the boat is leaving and climb on as the boat is sailing away. More to follow…Stay tuned! - Team Haiti Twa (3 in Creole)
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Homeward Bound Posted Monday, April 30, 2007 12:33 PM Hello Everyone, My last week in the UAE finished on great notes. I ran up Jabel Hafeet with a marathon-running friend I met from South Africa. 7 miles up to the top - and it was up! Because of the heat we left at 5am. The top of the mountain is jagged, but an extensive hotel was built at the top as well as an incredible palace placed on one of the peaks with a man made walk way out to a gazebo that is hanging off the edge of the mountain. What a sight! I was also showered with generosity from friends who took me out to see last minute places that were a must do before I left. I had a really great time and am glad for the opportunity. Thanks for tuning into my blog and for the comments. I hope to touch base with you all soon! Looking forward to the adventures ahead! Chao ***** To the East Side Posted Sunday, April 15, 2007, 6:10 AM Greetings Everyone, Last week was a mix of different experiences. I shadowed the nurse supervisor whose job it is to keep the hospital's bed capacity organized and problem solve. It was interesting because I was able to check out all the different units of the hospital. Some of the units were similar to what you would find in a US hospital, but others a little different. They have one unit here for chronic care patients, young children born with abnormalities that will not live without ventilator support or constant care. The next couple of days I spent working on labor and delivery. Here the L&D unit is run primarily by midwives. The unit was very welcoming and I had a great time. Some of the birth stories I was a part of are quite something, a story perhaps for later. Hard to believe my clinical experience is nearing its completion. Really one week left! I will be back to my unit, female surgery for that week I just returned from a trip to the eastern shore of the UAE. There is a small strip belonging to UAE that intersects Oman whose borders contain the northern part of the peninsula and the southern part of the Arabian coastline. I went to a small town called Khorfakkan. I have been trying to get here for some time, but there are no buses that travel here, taxis are expensive and organized trips are how most people go and I was trying to avoid that route. I met a woman on L&D who was going with an organized trip and encouraged me to come. She was going to smuggle me on as a cast away. They were leaving the next day. My transport was not completely working out so why not. Well, we did get caught, but easy to ask forgiveness then permission as they say and I made it to Khorfakkan. It was worth the effort of getting there! Rocky, jagged mountains border the coastline here towering high above the village. The mountain ranges are immense and show the feat it must have been to get a road through them! Walking along the beach I scanned the mountains and could pick out small rock fortresses here and there. It kind of reminded me of Lord of the Rings scenery. The unfortunate landscape was the HUGE cargo ships that were coming into the eastern side of the bay where a major operation of unloading, cranes, all sorts of stuff was going on and taking up a large area. Power lines also travel along the mountain side, how they got them up there must have been a lot of work! They can almost always be viewed from wherever you are. Kind of too bad they didn't put underground wires in since this infrastructure is fairly recent. As a cast away I enjoyed lovely meals and luxury of staying in a hotel. I met some really great people. Many from South Africa and heard some very interesting life stories. The beach that runs for several miles and consists of Khorfakkan’s city center is public and was a full of locals. Tents were set up, barbeques on the beach, lots of badminton and cricket. It was very festive. Sally's friends took me under their wing and we all had a really great time! Off the coast I could see many ships dotting the horizon. The weather was beautiful and the water refreshing. On our way we stopped at an outdoor market that lined both sides of the road with hundreds of vendors. Lots of fresh fruit, mangos, pineapple, dates, grapes... and corn on the cob, steamed or roasted. Plants of all kinds, essentially sitting in green houses and a plethora of carpets. The corn was quite good, can't pass up corn on the cob! and I stocked up on fruit. Its back to Al Ain for a couple more work days and then off for some final adventures. Thanks for your comments, it is great to hear from people! Cheers |
***** Late Night Entry Posted Friday, March 2, 2007 1:35 AM Good Evening Friends, Sometimes I feel like I am on an outward bound course in some respects: the group dynamics, learning, growing and seeing new things together and in different ways. Tonight we had a fun time talking about where we are coming from, little tidbits and a few embarrassing moments....funny stuff, had to be there:) Now I find myself typing away, while the rest of the gang have found themselves a bed and gone to sleep. I went solo today to the Center of Hope where I worked with a great Haitian nurse doing HIV consultations and ante partum exams. I learned a lot and got some practice at finding heart beats and measuring fundal heights. Speaking French would have been helpful so I could have understood more of what the nurse was saying to me and the patient, but heck we did alright. Noah, my interpreter where are you?:) I guess I should start practicing my French a little more. In the afternoon I shadowed the doctor at the HHF clinic. Saw all sorts of things, lots of high blood pressure and scabies. He was quick and often knew right away what the patient had, but also asked me what I thought. An eye opening experience to add to the many others. Like our trip into the mountains yesterday. Three of us were lucky enough to catch a ride with Katy, a doctor from the states who is building a clinic in the mountains. We went with her to some remote villages to do a resource assessment by talking with several of the village leaders. I was amazed by how rocky the high mountain villages are. The Toyota truck we were driving took them with stride, but a flat tire seemed inevitable! The folks we met were very welcoming and we heard perspectives from a lot of people. Katy always asked as her final question, if you were president what three things would you do? Any ideas? Consistently the answers were 1. clinic 2. roads 3. schools Keep in mind that none of these villages have electricity, running water, toilets. Tomorrow three of us head back into the mountains and across the big river (good thing we have land rovers with their long air filter stacks!) to go to a health clinic with some of the HHF health agents. All the best |
***** A Beautiful Sunday! (Emily G. is Off to Haiti!) Posted Sunday February 25, 2007 9:14 PM
Hello Everyone, Thanks for checking out my blog! Today was a full day that started off with an early morning walk by myself down the hills to town. The roads are impressively steep! People were out, on their way to church and the sun had begun to get warm. And fresh orange juice and fruit for breakfast!!! We made our way from our gorgeous place that we are staying to the orphanage where we helped the nuns feed the babies and played with the young ones. They were all so excited to see us. The site, of all these children was pretty shocking. I would like to go back and spend some more time there, just to give them some attention means a lot. The nuns have their hands full with all the children and babies in cribs that fill the whole room. Just changing diapers and cleaning up spit up seems to have them running around non stop. We walked from the orphanage to town to fetch some supplies at the market. The chicken feet were tempting, but I decided to bargain for the papaya instead. A lot of flour, rice, beans, bananas. The sun was really hot, it must have been in the 90's today. Luckily the group put on a gracious supply of sunscreen and a stop for a glass of coke got us all on track to continue our walk. We took a bumpy trip to the beach in the afternoon. Great waves!! It was so fun and really warm. Tomorrow we begin our work. We are meeting with the Haitian Health Foundation in the morning and then heading out to a village an hours drive away to give our anemia presentation and do screening for anemia, blood pressure, tetanus shots to the 200+ girls who are coming. So far So great. I hope you are all well and I hope to get a chance to write again soon! Chao
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Sanibonani! Posted Monday, June 26, 2006 4:51 PM Sanibonani is the plural form of Hello in Zulu. This is my first blog entry on this or any site, and I have a lot to say about my experiences as a student at Johns Hopkins University School of Nursing. I have to start with my most special experience here. Well, the experience wasn’t really here, but the result of being a student here. I was selected to participate in the MIRT (Minority International Research Training) Program, which provides training experiences abroad to students interested in minority-focused research. This program is funded by NIH and has affiliations with universities and research institutions in Australia, South Korea, Israel, England, Sweden, and South Africa. I was thrilled to have the opportunity to participate in research at the University of Kwa-Zulu Natal (UKZN) in Durban, South Africa! I’ve always wanted to go to The Continent, and to go there for such a lengthy stay (3 months) and as a part of a special cause made the experience even better than I expected. My research there was focused on developing communications against adolescent substance use and abuse. My specific role was to develop focus group guides for health workers in the communities so that researchers at UKZN would have input directly from the target audience, allowing them to create the most effective campaign possible. I’ve been working on different research projects at Hopkins since 2002, so I had some experience, but doing research in an unfamiliar culture required many skills that I had not yet learned. I’ve always enjoyed learning about new things, and the faculty and staff at UKZN provided extensive learning opportunities on and off campus. I was able to travel to Johannesburg to meet with the Director of Research and Development at Soul City Communications. Soul City uses research to develop literature, television shows, and radio broadcasts with the goal of promoting healthy behaviors and lifestyles. I observed UKZN’s undergraduate community health nursing students plan and implement impressive community health interventions in Durban communities. I attended the 2nd South African AIDS conference in Durban during my very first week there. The list of awesome educational experiences goes on and on. In addition to the research experiences, I greatly enjoyed being immersed in African culture. I was there with 2 other Hopkins students and we made friends with several Zulus and Xhosas who showed us around and allowed us to experience Africa in a way that tourists wouldn’t. We went to cookouts, parties, concerts, malls, the beach, family dinners, and just hung out. Being in South Africa was an experience I’ll never forget! In fact, at the end of my trip my boyfriend came to visit. We went to Cape Town, Zimbabwe, and Zambia - and he proposed to me at Victoria Falls in Zambia!! I’m so glad that Hopkins provided this African experience. I have a really busy summer ahead of me. One of the faculty at UKZN forwarded me a Call for Abstracts for the Sigma Theta Tau International Nursing Research Conference in Durban. I wrote an abstract, with help from my friend Safiya, Cultural Competency in Nursing Education to Facilitate Effective Healthcare , and it was accepted! I’ll be going back to Africa in early August to present this work. Once again, JHUSON is supporting my travel and my interest in research! I’ll even get a course credit for developing the presentation. I took a course this past spring, Communication Strategies for Health Education and Health Promotion, and the Professor is helping me to incorporate the relevant strategies from that course. I can’t wait to go back to Durban! As soon as I get back from South Africa I’ll go straight to Florida for the National Black Nurses Association’s annual conference. I am presenting there too. This presentation, Breastfeeding to Reduce Health Disparities from the Cradle to the Grave, is the result of my work on an NIH-funded research study to support low-income breastfeeding. During the training for my position on the Breastfeeding Support Team I learned about all of the amazing benefits of breastfeeding. For example, research shows that breastfed babies are less likely to become obese, have less incidences of diabetes, lower rates of hypertension, and lower rates of asthma - to name only a very few benefits. I realized that these were some of the same diseases that disproportionately affect the African-American community. So, if more people breastfeed there will be better health outcomes across the lifespan. While I’m at the conference I’ll be promoting JHUSON and recruiting potential students since Hopkins values diversity and the different perspectives people bring from various backgrounds. Okay, I didn’t mean to write so much for my first entry, but I’ve had so many great experiences during my Masters program! Next time I want to discuss the classes I’m taking this summer and the activities included in their requirements. I also want to talk about my two new jobs. I’ve been a Nurse for almost 7 years now and I keep discovering new and exciting roles and opportunities. This profession provides so many options and they are all very rewarding. I look forward to sharing more of my experiences soon. Take Care!
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The NICU Posted Sunday, July 08, 2007 5:54 PM
I love working in the NICU (Newborn ICU). It’s a lot of fun. The nurses are great, the babies are cute, and there’s a nice variety of patients that move through the unit. But one of the most common comments that I get when I tell them I’m working in the NICU is, “it must be so hard to work there.” I don’t see it that way. Granted, it can be very difficult working there. You see so many babies that are so critically ill, that it tears at your emotions. So many of them are barely hanging by a thread, require intensive care and life-saving techniques. They’re on ventilators, heavily sedated, hooked up to machines, and have tubes coming out of every open patch of skin and orifice. And the sad reality is, for the ones that are so sick, some of them do not ever get off the vents or heavy sedation. Personally, the hardest part is watching them lay there and struggle against the ET tubes, knowing that they won’t ever be free of them because the parents want everything done for them. It’s not that I want them to let go, but I hate to see their suffering prolonged. All life is precious, but it is the quality of life that is most important (in my opinion). So it is hard for me to see some of these kids that are not progressing, not getting better, and their parents want everything done. The parents don’t always understand what it takes to keep the child alive or what it will mean for the infant. Sometimes it’s better to just let the baby go. But just as they might not understand what is going on or what the prognosis is, we don’t understand what it means for the parent to keep the child alive. What it comes down to is a difference in values. For me, simply existing isn’t living, and it is hard for me to watch a child with no prognosis or chance to be off a vent, yet kept alive without any quality of life. But working in the NICU isn’t all sad. Most of the infants do very well and get to go home to their families. They’re amazingly resilient. It’s a matter of helping them get better. Over the weeks, you see them get stronger, gain weight, and learn to bottle feed. The parents come in to hold and feed their children and see the pleasure in their eyes. You can hear the excitement in a mother's voice when she hears her son “graduated” from an isolette to a crib. These are things that overcome the sadness of some of the other children and make the work worth while. And the best part is when you pick up a crying child and they calm and fall asleep in your arms while holding your fingers in their small hands. Actually, the best part is when they’re sleeping quietly in their cribs and stable so that the alarms don’t go off every minute haha And the coolest thing in the NICU is that you can save a life one foot flick and poke at a time ***** A rookie mistake Originally posted: January 28, 2007 at 2:47pm It’s kind of scary sometimes when you think about someone’s life is in your hands when you’re at the hospital. Especially when it’s your turn to give out meds. We’re supposed to check and recheck, and then recheck again. And after you think you were being so careful and meticulous about them, you find out you might have done something wrong. It’s scary to think about making a mistake. The other day I was giving meds. I checked them on the orders, made sure I had the right drug, the right dose, right route, right time and the right patient. Then I checked compatibility because I was giving an IV push, along with hanging other IV piggybacks. And I thought everything looked good. So I gave my meds, my IVs, and my IV push. A little later I went to look up some of my meds for the next round. For whatever reason I went back to the IV meds I gave and checked compatibility again. One of them had “caution: variable” meaning the reactions with the two could potentially be incompatible. It’s a terrifying feeling. Your heart just drops. You feel the blood run from your face. You get nauseous. And then you just wish you didn’t wake up this morning at 545, because sleeping in and missing clinical might be better than accidentally hurting your patient. What do you do? What can you do? I went to my nurse and I told her what had happened. We checked the IV compatibility on Micromedex and confirmed what I saw. We checked the patient (who was fine, no changes), and then I went to talk to my instructor. I was ready to get sent home, to fail clinical, drop out, and then go back home to figure out what to do with my life. Maybe live on the beach in a grass hut? I know I was exaggerating and thinking too far ahead, but when you’re panicking and unsure of what to do, your mind goes in every direction at once. So when I talked to my instructor, I showed her what I found and waited for judgment. And luckily, the meds were compatible. I didn’t mix meds incorrectly. I didn’t almost hurt my patient. And thankfully, my instructor knew what she was doing and wouldn’t let us make these kinds of mistakes. So as annoying as it might be sometimes to wait to give our meds with our instructor, there are benefits to it. Sometimes it’s necessary. Maybe some people are perfect in everything they do and never make mistakes. I’m not one of those people. I think sometimes we are driven to do everything so perfectly, that little details need to be exact, and then find ourselves missing something really big because we’re too into the little things. Or maybe it’s the pressure that we put on ourselves to do everything exactly and correctly, that make us miss something so obvious. And as scary as it is, at some point we’ll make a mistake. Hopefully something bad doesn’t come of it. All we can do is try to do our best, not scary ourselves into being the most perfect nurse ever, and make ourselves think about what we’re doing. If you have a question or unsure of something, just go ask. If you don’t feel comfortable doing something, ask someone to help. I was lucky, really really lucky. It could have been a lot worse. But as students, we don’t have all the answers. We’ll make mistakes. And the best thing we can do is learn from them. So if you don’t already know, phenergan doesn’t go with Ringer’s Lactate (my patient had KCL). But make sure to double check! ***** Awkward Communication Originally Posted: October 21, 2006 at 8:34pm Last week I attended the wedding of my older brother in California. It was a beautiful wedding and I was so excited to get away for a weekend. We had a three day weekend and my brother was nice enough to move the wedding date to accommodate my travel considerations so I didn’t have to leave in the middle of the party to fly somewhere like I did for my oldest brother’s wedding. I like weddings. It’s a celebration of love. And there’s a lot of good free food. I’m always for good free food. But one of the things I hate about weddings, particularly if you’re the youngest unmarried brother of the groom, people are bound to ask you annoying questions like “when are you getting married?” it’s one thing when family asks you that, because that is the eternal question any family member or close family friend will ask anyone unfortunate enough to be single. But what I don’t like is when a complete stranger comes up to you and asks you that question. Of course it’s to be expected, but I find it awkward and a little insulting at times. I don’t know you, and I probably don’t remember your name, and you’re asking a really personal question. It’s rarely, “are you seeing anyone special right now?” no, it’s straight for the jugular, “when are you getting married?!” Is it right to naturally assume someone is coupled? What about those lonely singles out there? What about those who aren’t allowed to get married? Maybe we don’t need a big party or a wedding to celebrate the love that we have for one another. Maybe I’m a little touchy about people asking me about my marriage prospects. For some I replied with “I can’t get married until the laws change” and would smile and watch the confused expression cross their faces and perhaps a dawning of understanding. Most of the time when I was asked by strangers I just said “Not for a long long time” and made a V line for the door. I wouldn’t wait for that look of pity and the condescending “you’ll meet someone someday…” I don’t like having to explain myself all day long, and I shouldn’t have to. Those questions make me feel horrifically awkward, and I’m sure the other person feels just as awkward too. I say we dispense with awkward questions, and not bother trying to talk to complete strangers haha no I’m kidding… for the most part. But I guess this has been the week of awkward questions. People have been coming out of the woodwork with them, and I’ve been asking them also. I’ve been getting the, “so… you’re a male nursing student… how’s that working out?” and the “so you really wanted to become a nurse, not a doctor?” questions and it gets on my nerves quite a bit. And perhaps I am not the most socially adept person and I might have fallen asleep briefly during some our therapeutic communication lectures, but how do you answer those questions? How do you not get offended by the negative connotations and not want to pull out your hair in frustration. I’ve always tried to not put much stock into what other people think or say about me, but it doesn’t mean I don’t get annoyed or feel awkward. I’m not saying I never put my foot in my mouth and ask awkward questions. My face still becomes red with embarrassment when I’m asking a postpartum woman how her hemorrhoids are doing while she’s laying on her side and exposed with myself and my instructor examining her ‘roids (although I’m thinking that she’d feel more embarrassed than I would be). I still feel my ears get warm and the hairs on the back of my neck rise when I know someone is going to say something that will offend me. But I try not to let it eat away at me. And it still bothers me sometimes when people make ignorant judgments about me or others for the decisions we make for ourselves. But I guess it’s something I’ll have to learn to deal with and not get too worked up about. People will offend you whether they mean it or not. It’s usually it’s innocent, but unfortunately, it’s part of the job. No one said it would be easy. It takes a really strong person to be a nurse. It takes dedication and discipline, a thick skin and the ability to take the abuse, and the knowledge when to accept it and when not to. And it also takes a strong will to not smack someone when they say something stupid and offensive. We do it because we care. If we were in it for the money, we’d be doing something easier. If we wanted recognition and fame, we would have chosen a more glamorous job. But sometimes the benefits outweigh the difficulties and the headaches. When a patient sincerely thanks you for your help, or when a fellow nurse praises a male going into nursing, then it’s worth the abuse, the irritation and the indignity that sometime follow the job. It’s about being proud of yourself for your work and loving who you are. It makes those hard questions a little less awkward and easier to answer. Maybe I’m still trying to get used to these questions. Maybe someday when someone asks me one of those nurse related questions I won’t get annoyed or feel like I have to explain my choices all the time. And maybe someday when some stranger asks me at a wedding when I will be getting married, maybe I’ll tell them the laws finally changed and that my partner and I have the date for sometime next year. Sorry folks if this entry was a bit scatterbrained, it’s a scatterbrained time. It’s late, I’m tired, and I like to kill as many birds with one stone. I wanted to celebrate my brothers wedding, send a shout out to the LGBT community at school (I missed the lunch last week because I was too hungry to wait until 1230 to eat and wanted to go to a ER/transplant nursing meeting), talk about some of the difficulties and rewards of nursing, and emphasize the importance of therapeutic communication. We need to learn talk gooder and avoid the awkwardness!
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Why Nursing? Originally Posted Thursday, March 15, 2007 1:51 PM
Hello Friends, It has been a very busy couple of months and now that the Medical Surgical clinical rotation is over we are moving into the next rotation, (Pediatrics). We have been immersed in the JHUSON relentless academic marathon and in a few short months (4), the student journey ends and a new path is blazed as new nursing grads, and licensure examinations. Personally, the nursing school experience has been quite the adventure, yet rewarding on many levels. Another student asked me the other day if I would go through nursing school again, my first reaction to her inquiry was to question her on the type of medications she was taking and if any adverse side effects such as, “delirium” was being experienced. I compare the nursing school experience to military boot camp or similar academy/educational type programs. This process is demanding, emotionally, physically and mentally and you ONLY want to live through it once. The experience at times, feels as though you JUST cannot do one more push-up, run one more mile, take one more exam or write one more care plan. Then a remarkable thing happens, you find the inner strength to push through the challenge and propel yourself forward with the confidence that you persevered and gave it your very best. I believe that perseverance and resilience is what propels us forward and strengthens us during times of difficulty. It is only through personal or a professional challenge that one is pruned, tuned, strengthened wisdom is gained, regardless of previous historical successes. Pushing through nursing school whether the timeline is 14 months, 21 months or three years requires heart, determination, resilience, faith and intelligence not to mention the undeniable belief in the purpose of your journey. I have traveled the world as a member of the armed forces, worked in situations that would probably have shocked the faint of heart and have been in the right place at the right time to make a difference in the lives of others. I have held numerous positions of leadership throughout my careers and worked long hours in critical incidents that I cannot even begin to accurately capture through this blog. I have treasured those experiences, valued the memories and nurtured the friendships through the years. I am often asked by individuals, WHY NURSING? With all of your career successes why would you give that up to attend school and start a new career with its own unique challenges? I admit, it’s a fair question, my response is simple. Success is not always measured by money, status, power, credentials, I have had money (had... is the operative word), great career successes and power. Success to me is doing the one thing that you would love to do even if you were not paid a single dollar. The purpose of the journey, any journey regardless of your background, sex, culture. socio-economic status in regard to choosing a nursing career is as individualized as a fingerprint. The essence of nursing and the common commitment of "standing guard" for others is grounded in ... not what is gained but what is given. It is not a rubber stamp reflection of a job; nursing is immersed in commitment, hard work and passion for people. Why Nursing? The following is just one example: I have one story to share that occurred toward the end of my Med-Surg rotation. It was toward the end of our seven week clinical rotation and as usual we were all on a non-stop marathon of care plans, exams, quizzes and yes hours and hours of studying. I did what we all did on a weekly basis. prepared diligently for clinicals, gave 110% total nursing care with every assigned patient and survived at times on sheer determination, reserve energies and lack of sleep (PRN basis) to push through the long hours and manic moments of care plans, clinical preparation and project deadlines. One particular week was especially difficult for me after receiving some untimely outside personal news. I continued to push through the distraction and provide 110% best patient care possible while remembering that regardless of my personal outside concerns, my patient and their nursing care was first and foremost. The long clinical shift ended and I drove home exhausted. I struggled with my fatigue both emotionally and physically. I pondered the question,” did my efforts today made any real difference? The personal and professional sacrifices to attend nursing school and the choice to start a new career did not seem as CLEARLY defined for me on that particular day. I continued to draw strength from my faith, and from my inner convictions to continue pushing through regardless of what I was “feeling” although my fatigue and life’s stressors were clearly working against me. (I thought, I could have money, status and work a regular 8 hr day what am I doing here jumping through all these hoops). I proceeded on with the rest of my week pushing through to meet deadlines and task completions. (Living on caffeine and tasty food bars- always ask for the nursing student discount). The following week while reporting to my clinical site, a letter, addressed with my name was waiting for me on the hospital floor, below my name was written, Johns Hopkins School of Nursing Student. My first reaction to this letter was, “Great, it’s another bill…financial accounts has forwarded this to my clinical site…this is special”. (Financial stressors are without question a reality during nursing school education) I proceeded to open the letter, and discovered it was written by my assigned patient from the previous week. The patient I had cared for on the day after receiving some difficult news and wondered if my nursing actions and efforts really did make a difference. (It did) The letter touched my heart and was written with such genuine gratitude and expressed beautifully written words related to the positive impact made by my direct nursing care received on that particularly difficult day. This patient expressed through a full one page letter the positive impact of her care and the difference that it made for her in her hospital experience. Her fears were eased and her comfort level improved related to the recovery and healing process of her condition. The words at the end of the letter simply stated,” You made a difference in my care and you are going to be great nurse, thank you for always going above and beyond to take care of me, you have made a perfect career move and have a great sense of humor. (WOW) I could not believe the timing of the letter. The tears rolled down my face as I folded the letter, placed it in my pocket and realized that all my sacrifices, struggles and challenges through nursing school was not simply an academic exercise but a living example of touching lives and making a difference even when we do not realize the impact. I will always keep that letter to remind me of regardless of our own personal circumstances and challenges in life; we do make a difference in the lives of others if we allow ourselves to embrace the gift of selfless giving. It is in those moments when we continue to give our best even though we feel as though we have nothing left to give, something marvelous occurs. We touch lives! The art and science of nursing is merged in moments that sometimes takes us by surprise and reminds us of how truly privileged we are to care for others, and to hold the sacred title Nurse or in this case, nursing student. Touching lives IS a tapestry of our successes how that is measured is as unique as the individual fingerprint. We do make a difference each day in the lives of others and after all isn’t that the essence of why we have chosen such a challenging yet rewarding career. Pushing through the difficulties is what provides value to our journey and adds appreciation for what lessons were learned along the way. I would like to thank those who have written me e-mails in regard to this blog site and although the day gets quite busy, I may not always get a chance to respond but be assured they are read and they touch my heart and are greatly appreciated. Thank you! Congratulations to those who have been accepted into JHUSON, great job! Take care and thanks for visiting the site. ***** Inspiration Originally Posted: October 1st, 2006 at 12:08 pm Hello Friends, The first sets of exams have been successfully negotiated and like all things in nursing school as soon as you finish a project, care plan, or preparing for an exam; you look up and another list of deadlines and preparation must begin for another quiz, exam or patient care plan that at times seems as close as your next breath. Timing, organization and pacing yourself is key for survival to prevent feeling “overwhelmed”. You must always take time out for yourself to keep school in perspective. Imagine swimming underwater for periods of time, coming up for air to take a breath and diving back underwater, propelling yourself forward until you stop to take another breath… you quickly ascertain your position relative to your surrounding, continue heading in the direction of your intended destination and at times are unexpectedly inspired and awed by the beauty of the water world you find yourself involved in. This weekend I was so inspired... not by the creatures of the sea, but by some of the most incredible and amazing people who are part of the legacy and tradition of the "Alumni Association”. These women and men are graduates from the JHUSON ranging from past graduating classes dating as far back as the 1940’s to recent graduates. I had a few hours on Saturday to volunteer and help with their annual Alumni Association breakfast and lunch and I must say…I was a bit tired from a long week of exams, studying, evening clinicals and writing care plans. I had to force myself to get up early on Saturday morning…but I committed myself, so I slowly moved toward my car (the pep in my step was a little lagging) and drove to the hotel with a cup of coffee in my hand and humored by the lack of traffic on a Saturday morning in downtown Baltimore (most likely these folks were still sleeping). As I positioned myself near the door to their function (my volunteer role) wearing a lab coat to primarily identify myself clearly as a student, I began greeting the alumni who were entering the ballroom for their breakfast and could not help but feel their enthusiastic energy. I was awed at the sight of these remarkable women and men who ranged from the ages of 91yrs to twenty something. They proceeded to file past me, greeted me with a smile and many of them stopped to engage in a few minutes of conversation. Their sharing of accomplishments, experiences and pride of being part of the JHUSON nursing legacy was evident by their grace, poise, humor, intelligence and incredible warmth and positive energy. From current Nurse Practitioners to the aged and retired nurses, they each shared personal stories about their experiences from the war to present day nursing with energetic animation that captured my attention and inspired my soul. I looked around the room at one point and just took in the energy from this collective group of amazing individuals who each one in their own right has contributed a part of themselves and continues to influence the art and science of nursing. As I embraced their energy and laughed at their stories, I could see the passion and love for nursing in their eyes and it moved me because it was so genuine and unmasked. It was part of who they were and it propelled them forward….seeking out new challenges and never settling for the status quo. As I finished my duties and prepared to leave, I assisted an older retired nurse (70-80 yrs) to the bathroom facilities. As we briefly talked, and laughed about needing a map to find the bathroom in the hotel, she stopped, turned to me and said,” Do you like nursing so far?” I responded honestly to her inquiry and stated ” I do love the clinicals, but you remember what it was like sludging through Nursing school-your always immersed in something. With a sparkle in her eye, and firm grasp on my arm she said,” Yes dear, I remember, but always know even in the hard times, you will touch the lives of people and in time you will make your own contributions to nursing”. She continued, “I am old and have not been active for many years but my hope is that students like yourself will follow in our legacy and never forget the nurses who have gone ahead of you and left their mark…you must do the same.” I said “Yes Ma'am, I will always remember.” I thanked her for her words of wisdom said good-bye, told her to take good care of herself and walked toward the elevator. I stopped for a moment to turn in her direction …she was gone. Our brief encounter was inspiring to me and yet so simple in its transaction. I am glad I had the opportunity to meet her even for just a few minutes ….she was more than an alumni attending a function she was a nurse and a genuine soul with over sixty (60) years of experience, working with patients and impacting lives. With that spark in her eye and genuine spirit she did what she has probably done throughout her entire nursing career….touched a life, left an impression and kindled inspiration in someone she had only briefly met. The energy from the morning event carried me throughout the day and when at times I feel as though I am running low on energy and can’t bear the thought of studying another 3-4 hours on a subject….I will remember the spark in her eye and that genuine soul who has blazed a trail and continues to propel herself forward. I would encourage all students who have the opportunity … to get involved with the alumni association, it is a remarkable group of people that not only have gone through the gauntlet of nursing school education but who continue to impact the field of nursing today on many levels and fronts. Their kindred spirit, historical legacy and passion are energies that never waivers and their light is never extinguished. What a wonderful career we have chosen! ***** Academics and the “rite of passage” Originally Posted: September 16th, 2006 at 6:30 pm Hello Friends, The monthly calendar reflects midway through September and we are now progressing into the third week of clinicals and exam periods. The Nursing school experience is just that…an “Experience”. The “right of passage” is the maneuvering through each semester and one step closer to meeting the personal goals of graduating and entering the professional field of Nursing. The passage is marked by at times straight paths, but more often by winding and challenging roads that each student must negotiate to move closer to that finish line. The perseverance of pursuit is in the spirit of completion and the reality of the “schoolhouse environment” is merely a right of passage that will allow you to eventually be part of a profession that is special, unique and often challenging. I as most students have been challenged, frustrated, and at times edified by my experiences thus far. I can pass close friends in the hallways and know by the look on their faces what kind of day their having. Nursing students become very adept at picking up energy (negative or positive) with each other and can empathize as only a collective group can that share similar experiences within the same environment. Each semester and each clinical is progression toward the next higher level of learning. Having the opportunity this summer to work with some excellent Emergency Room / Trauma Nurses solidified the balance between school (the means) and working in the “real time” world of nursing (the valued end). To keep your eyes on the prize even when your sunk under for a week or two (as a friend told me once) is to understand the “right of passage” and know that the value of each person going through this process will have something special to offer and contribute to the field of Nursing. The science of nursing is only partially complete if the spirit and heart is lacking the passion. The passion comes from what it already in place, but is pruned and tuned by the struggle and frequent challenges from just being in nursing school. To my friends who read this blog and who I know are struggling getting back in the groove of the fast paced academic tempo here at the SON, be assured your in good company and persevere, we are almost there. Sometimes it is all about the journey that gives us strength to rise above the challenge and make our own mark when the time is right! Take care and thanks for visiting the site, I will see you around Campus! For those readers who are reading this and who are not yet in Nursing School but thinking about it….my advice to you is… the journey is worth the pains of passage….so take the risk and jump in with both feet. You're in good company, believe me.
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We're leaving for Haiti!
Posted Thursday, February 22, 2007 6:18 PM We are technically leaving for Haiti today. Very exciting. So exciting, in fact, that I can't sleep. Since it is very late at night, or very early in the morning depending on your perspective, I'll make my entry brief. The Haitians have many sayings, or so I have been told. There is one that I came across, in preparing for this trip, that comes to mind- Ou we sa ou genyen, ou pa konn sa ou rete (You know what you've got, you don't know what's waiting for you). That is exactly how I feel at this moment, knowing that whatever I have learned to this point, whatever experience I can bring with me, whatever good intentions I carry, whatever I have packed in my luggage- that is what I have right now. Will it be enough for what is waiting? I hope so, but I think not. I am slowly understanding that this is why I have come to JHU SON, for these moments and these opportunities. I've come here to work with exceptionally talented and passionate people. I am here to find out what is waiting. So, fellow nursing students, please keep us in your thoughts and prayers if you have a moment as we fly tomorrow. I have the feeling that this will be a very memorable trip. Arrival Posted Sunday, February 25, 2007 8:45 PM I have never been a fan of the window seat; in fact I have been known to avoid it at all costs in favor of the aisle. As luck would have it, I've been assigned to the window on every flight so far. As we flew into Miami, I was mesmerized by all of the lights. It reminded me of an enormous motherboard, all the neatly divided sections, and the buildings that look like capacitors. The night in Miami was an adventure in itself...yay for HOJO (to be read as mild sarcasm) . The highlight of the night was waiting for the "free" shuttle at the terminal with 20 check-in bags and 10 carry-ons and at 11:52 pm, being told via phone that the shuttle is not due to arrive until midnight by the shuttle driver, who is was about 20 feet down the way, just waiting for the clock to strike 12...Comedy! When we flew into Haiti, I think what struck me most were the mountains. Anyone who has read Mr. Kidder's book will recognize the Haitian proverb - Mountains beyond mountains. I always took it to be somewhat metaphorical, like the mountains are the challenges we face in our lives or the hardships we endure and then overcome with hard work and perseverance. But when I saw the mountains, felt their commanding presence, I realized that these are real, tangible mountains that people do physically climb, every day. It sounds so obvious, but it is very daunting to see the mountains beyond when you have not yet climbed the first. Our arrival and not-so-rapid departure from Port-Au-Prince was a lot to process all at once. I am still in the process of processing...We are now at Betty's oasis. I feel like I am staying at the Swiss Family Robinson tree house. We have finally arrived. Tuesday Posted Tuesday, February 27, 2007 9:50 AM It is early in the morning on Tuesday and the cocks are crowing, but that doesn't mean much since they literally crow at all hours of the day...and night. It's been a very powerful experience thus far. I find it hard to write sometimes because it is frustrating when you can't find a key on the keyboard to express Haiti. Yesterday, we got to see the Haitian Health Foundation in all of its glory. There is really good work being done here, and it provided a much-needed reassurance that things can change for the better- especially after our visit to the Sisters of Charity on Sunday. I had never held a baby suffering from Kwashiorkor's before, and I had never seen so many children bombard complete strangers begging to be held. And they were still smiling. Yesterday was a long day, but very good. We attended the HHF orientation and then took a walk to the hospital proper. It was unlike anything I had ever experienced (like much of the trip thus far). The smell of illness was thick in the air as we wandered around the barley functioning wards. It did not feel like a place of hope and health and that was difficult for me since I have always known hospitals back home to be held to standards of quality and centers of healing. Even hospitals in disrepair that I have seen in America cannot compare to this- We talk of bed making procedures and blood pressure protocols and sterile dressing changes, but all of that seems like luxury here. The day continued on with an hour long car ride on a roughly forged road through the mountains to a village where we would conduct our first Health education day. All fourteen of us were packed into a land rover, like sardines except probably a little tighter than that. The landscape was beautiful, that of a tropical paradise, with the Grand Anse River following our progress. Small shacks and towns lined the road as we passed. And throngs of children, being released from school, flooded to road with the bright colored uniforms. Each of the many schools had their own unique outfit, designed specially for their program. Haiti is a country of colors, all around, all very bold and bright. Lime greens and bright blues and yellow. Tons of kids, all walking to who knows where. Ferme Posted Wednesday, February 28, 2007 10:25 PM We had been walking for about 20 minutes, up a very rocky road. I chanced a glance back and was met by a mob of little children. They had been let out for recess as we passed the state school along the road and had followed us in our journey to Ferme, all in their bright blue uniforms sure to keep a safe distance. They quieted each other, stifling giggles as they investigated the strange visitors to their remote home in the mountains. But smiles are contagious and pretty soon our silent entourage was transformed into a giddy following. We walked a little farther and came to another school up the way. It was a private school, Protestant. The children there were also being released for recess and suddenly we were surrounded. So many beautiful, happy children. The school was a single room, a concrete building with wooden beams and very small. Dr. Katie informed us that this would serve as the site for her first interview, and our guides led us back to meet the school director. He was a 27 year old, well spoken Haitian man with very kind eyes. We observed that interview and several more before taking our leave and continuing on through the village. We stopped next at a small house, a two room shack with a tin roof, and were welcomed by a man and his small son, who hid behind the doorway still sporting his school uniform. The small room was bare save a calendar on the wall and a chalk board. We conducted our third interview of the day, it was a resource assessment trying to determine the level of "buy in" towards a new clinic that Dr. Katie hopes to build on a plot of land known as Gatineau. She travels on foot to 17 remote villages in the mountains above Jeremie, speaking with members of the community about their health concerns and what may come. The clinic will be centered on curative care and promises to bring much needed medical services to 30-40,000 people otherwise cut-off from medical services. Rachel, EmG and I were able to accompany Dr. Katie as she conducted this slew of interviews. When the interview was done, we were offered fresh coconut milk, straight from the coconut, and fresh boiled eggs. It was the most touching and meaningful show of hospitality I have ever received. I watched the man's son climb the tree and cut down the coconut. They shaved it with a machete and gave us each one to satiate our thirst. It was so refreshing. We left Dr. Katie to her interviews and were shown around the rest of the village by our guide, Tijan. He pointed out the vegetables and flowers that were grown, the animals that were kept, and the market. We were greeted everywhere we went and did our share of greeting. Finally, we were led back down the road to the larger state school, a concrete and would structure divided into two rooms. The benches had been removed to allow for the large focus group/town meeting Dr. Katie would facilitate to engage the community and get them on board with the project. Children, throngs of children all wearing bright yellow uniforms, refused to leave the school even after dismissed. As we waited for Dr. Katie to arrive, we were invited to sit at the front of the room and ALL of the children sat in front of us, staring intently, waiting for something to happen. They were so cute, just staring at us as if we were aliens. It was a little unnerving. In an attempt to break the ice, I stood up, pulled out my camera and took a picture. Then, I turned the digital LCD screen around so they could see...that most definitely broke they ice. I was mobbed by giggling, chatty, excited children all wanting to have their picture taken, all wanting to see the screen. It was incredible. Once that was done and we had a mutual understanding of good intentions, we returned to the familiar game of sit and stare, still waiting for Dr. Katie. So, Rachel and I did what any other reasonable aspiring nurses and lovers of the arts would do in a similar situation- we sang Frere Jacques (this song is specially dedicated to my dad!)! And the kids knew it!!! They sang for us, we sang for them, and then we all sang together and it was such a high! So much fun. When we were done singing, as if on cue, Dr. Katie came walking down the path and everyone was excited because she is well known and seemed to be well liked among the community. The meeting went very well, everyone had insightful things to say and comments to add. One of the clearest messages that came through was the frustration over a legacy of broken promises. I hope, for the sake of all involved, that Dr. Katie and her team are successful with their clinic, because the people are in desperate need.
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6:33pm and counting
Posted Thursday, February 22, 2007 9:32 PM It's 6:33pm and there's still so much to do! I began this week with a whiteboard full of tasks - all accompanied by little boxes, just waiting for that satisfied checkmark to show it had been dutifully completed. Less than 24 hours before the plane leaves the tarmac and how many of those boxes have been left unchecked! Just another familiar mantra of nursing school... However, to put it into a little perspective on this otherwise petty concern, soon my clinical group and I will be in Jeremie, Haiti. As we've been preparing for this trip I've had several moments to briefly reflect on what this experience may be like - and how things may have changed since the last time I set foot on that small island. Traveling to Haiti during my freshman summer of college in 1999 was the first time I had been outside of the continental United States. What a culture shock it was to set foot on the soil of Port-au-Prince, just outside of an airport thronging with unfamiliar faces and tongues, and gaze out onto the cityscape. This was my first encounter with a developing country - and it left a permanent impression. At the time I was traveling with a medical mission accompanied by nurses, medical specialists, and interestingly enough, my father. We witnessed great beauty - and great destruction - in the landscape we traveled during those brief weeks in 1999. I was amazed at how people could work so hard, in such challenging circumstances - with so little. I tentatively sampled a bit of goat meat offered by a generous hostess in a mountain village. I struggled to assimilate clumsy high school French into the richness of Creole - and failed - and I made many "small" friends along the way. The outstretched hand of a 5 year old and the sparkling smile that accompanied it became familiar - almost comforting - but I couldn't help but feel a bit uncomfortable about my role in this land so different from the one I had grown up in. That trip served as a chief source of inspiration to pursue nursing practice and public health. The nurses I was with at the time and I theorized that the work we were doing there was only a band aid on a much greater need. I later came to understand that this kind of thinking has a name - in Peace Corps circles it is called "sustainable development" - in nursing, I have come to learn it is called "health promotion". In later years, once I became a volunteer, I often thought about Haiti and what I'd seen in Port-au-Prince, Cite Soleil, and the mountain villages that seemed so precariously perched atop the steep ridges that gate the island. Now that our public health nursing clinical group is preparing to go back - this time to a different region with a slightly different mission - I wonder not only about what will have changed there, but also what will have changed within me. Either way, I am so incredibly thankful for this opportunity, for my clinical group-mates (who are an awesome, accomplished, and inspiring bunch), for our instructors (an MPH student with previous experience in the Dominican Republic and a doctorally-prepared public health nurse who spent all of last year working in this Haitian community) and for the many generous donors and supporters of this trip who have made it - and the work we are about to do - possible. Sorry for being so long-winded - but another checkmark down! Chat with you all in Haiti! How Much for a Chicken Foot? Posted Monday, February 26, 2007 12:56 AM It has been a long but beautiful day. I was so heartened to see Haiti again – in fact, there were several of us, crammed hip to hip in the back of the Land Rover, who breathed a literal collective sigh of relief – perhaps release – upon finding ourselves in this incredible country (either back or for the first time) and doing the work that we love. Mostly I think we were high on laughter – and the intoxication only worsened with every pothole the vehicle struck. Perhaps I should say we had split-second lulls between the periodic launches from the benches upon which we were perched. We skipped right through Port-au-Prince and onto a “puddle-jumper” as my uncle would call it, and into the hilly but gorgeous region of the Grand Anse, where we landed on a white strip of runway in the city of Jeremie. This area is so – well, it appears thriving compared to what I last saw in Port-au-Prince. Perhaps it’s the greenery and the rural location, perhaps it’s my memory. Either way, it’s encouraging. The people here are still beautiful – they smile and nod and greet you – “Bonjou!” upon encountering you on the street. This morning everyone was wearing their Sunday best in church and the way that they take care of their clothes they make the look GOOD, even if they really aren’t. Today was the first Sunday of Lent. We chose to visit l’eglise of the Sisters of Charity, a Catholic relief organization here in Jeremie, for their Sunday services. Little did we know that today would be an extra special fete for both the season and the third anniversary of their church choir. The inside of the snow white cement meeting house was bedecked in wedding decorations that had been converted into streamers for the celebration. The house was packed. The sermon was in French, mixed with Creole, and very focused on the holiday – particularly the fast. It was strange to hear this community leader speak about the importance of fasting, especially spiritual fasting, to an audience of men and women who probably had one to two small meals of rice or beans a day, if anything at all. There was a tiny little girl from the choir – she was maybe 8 – who stood at the church’s microphone and narrated along with the choir. She implored God to look out for those who are starving and suffering – not her community – but “others” of the world who are in need. They were praying for those who were truly suffering. I sat and watched in awe. It definitely gives you perspective - not only on one's own situation, but how the people of Haiti can also take real pride in themselves and their ability to help others as well. After the church we returned to a paradisiacal villa to grab a quick breakfast before heading down to the Sisters of Charity, an orphanage and recovery house for impoverished infants whose parents can no longer care for them – either out of need or because of the child’s illness. Nuns care of many of these little ones – I can’t describe how their faces lit up as they greeted us at the door. We handed out crayons and coloring sheets and sat with the toddlers as they showed us their fine motor skills and played or explored with every pocket, hat, purse or pair of sunglasses they could find on us. After these ones were called to a hot lunch of rice and peanut sauce, we retired to a room of approximately 15 bassinets, flaked white paint outlining each one against the dimness. Inside each of these bassinets was a small child - they were in varying states of health and nutrition (or malnutrition). Many had obviously been kwashiorkor babies, others had apparent CP or MR – and many if not all seemed to have suspicious lesions, especially on their hands and extremities – congenital syphilis? Fungus? We weren’t exactly sure. But we fed them – or at least attempted to. The little one I chose to assist was unable to make eye contact me and his spasticity seemed to prevent any hope of his consuming the rice and sauce that I offered. It was very frustrating to see a little one such as this – so tiny and frail, and yet, so totally unable to benefit even from this small gesture we were attempting to provide. I can’t imagine how the nuns who worked there managed to see to the needs of all of these little lives every day. Apparently some of the parents come back to reclaim their children after they’ve recovered, and most of the staff are trained nurses or midwives. Nevertheless, the work they have is daunting. But the experience for us, even in its brevity, was very rewarding. This experience also brought to mind some comments made by our host last night about the varying degree of sustainability in projects launched here in Haiti. It looks like Haitian Health Foundation is really interested in building the infrastructure of Haiti’s health care delivery system, and I’m excited to learn more about the organization and its health agents. I won’t bother you all with a summary of the market we visited in the afternoon though it was fun to weave about the stalls, skipping over mud puddles and exploring the chicken feet section while steering well clear of the cleaver in the midst of separating them from the rest of the bodies. We had a good time, though the oranges are still bitter and one must definitely bargain for a deal. The day ended with meeting one of our translators for tomorrow (another big day) and packing over 300 individualized hygiene packets for the young women we will be screening tomorrow. The work went quickly – probably because it was a lot of fun – and I know I learned a ton today that will help me both now, and I hope, in the future, though the word “humility” comes to mind. Good night and thanks for reading the blog! Comments to us are welcome! Roosters crow at all hours Posted Tuesday, February 27, 2007 9:41 AM Just a quick post before breakfast - yesterday was full but wonderful. We started off the day at HHF, hearing about the incredible project they've begun here - I can't go into all of the details but suffice to say this is the most impressed I've been with an NGO in a long long time. They have community buy-in and have made a tremendous dent in the cases of pediatric pneumonia, as well as several other illnesses, through their efforts. And most of the work in the field has been carried out by community health workers, which to me - having that continued active participation, monitoring and evaluation, is just astounding. The hospital we toured afterwards was actually much more than I had expected, in spite of the obvious needs. Then we headed off on another bumpy mountain road towards the village of Moron (pronounced, "moh-roahn") where we hosted the first of our health and hygiene fairs for a veritable mass of teenage women who had been recruited by their community health workers to participate. They laughed at our skit (thankfully - though not surprising considering how ridiculous, in some ways, our actions must seem to them given the language and cultural barriers), and they sat their stoically while I gave them their tetanus shots. The girls were screened for heights/weights, BP, hemoglobin level, and tetanus. Upon successful completion of the stations they each received a bag - full of donated supplies such as washcloths, soap, shampoo, and perhaps the errant bottle of toothpaste. Their smiles were also beautiful, and I marveled at how well they composed themselves in the face of uncertainty (many had never had a BP cuff around their arm before and tetanus shot does not translate too well in any language to girls of 15 years). We were exhausted by the end but having screened between 120-180 girls, we were very happy. The health workers who work with the women also looked on - it was nice to know that when we referred the girls for low blood iron or blood pressure, they'd be there to follow up. All in all a terrific day - plus we got to tour the hospital, a bush sugar distillery, and Sant Lespwa! Now off for another trip! Quick post Posted Wednesday, February 28, 2007 9:35 AMQuick post before we head out - my body aches from the bumpy car rides but its better than walking those roads all the way home! Yesterday was another amazing day. It started out with a demonstration of the "KOMBIT" home-based life-saving skills - we watched Haitian animators act out normal deliveries - and when something goes wrong - and how they and their villages mobilize to save the lives of women in distress without the help of emergency medical services like we have in the States. Their testimonials about times when women in their villages were actually hemorrhaging and they acted quickly to save their lives were really moving - and it gives one a sense that the project here is really working. After that we headed back over to the orphanage to play with the children and do a skit on hand-washing. Imagine us singing (best we could) in Creole about the way we wash our hands with dozens of toddlers - all ages. They were adorable and seemed to get into it (at least the older ones who are in that "pleasing" stage). The younger ones were just happy to get to play around with some balls and pipe cleaners we brought and I'm sure we were once again an amusing site for all. A few of us (me included) then got to hop across the street to a hospice run by nuns that caters to women who are terminally ill or otherwise ostracized from their families. We came armed with stickers and nail polish and before you knew it we were having a "spa day" - cutting their fingernails (badly needed in many cases), painting their toenails and adorning their fingers, faces, arms, and pretty much anyplace else they wanted with stickers. They seemed truly happy to have us there - and the nun was a bit relieved herself as she had recently arrived from India and - in response to our fledgling greetings in Creole and French - asked, "Um, do any of you speak English???" The day wrapped up with another health fair - this time in Marfranc. We were a bit more organized this time - things went smoothly - and seeing as how we identified several girls with very abnormally high BPs and low Hgb (6.1 in one case), I think we did something valuable - of course this was all possible thanks to the health workers who set it all up and without them and the infrastructure of HHF we might simply be on a tourist journey. Its really been brought home to me how important it is for those who wish to help here to partner with agencies like HHF - so you're building the services rather than reinventing the wheel and then picking up and leaving after a couple weeks. On the way back into Jeremie we stopped by the wharf just in time to watch an over laden boat with Haitians literally hanging off the sides of it begin to pull away from the pier. The thing didn't really look seaworthy for a swimming pool, much less the 12-19 hour journey to Port-au-Prince, but that's okay. They seemed content to ride the waves on what could only be described as a tin circus afloat (so many colors and people and animals and packages, etc)...apparently our host (who is also an anthropologist) has made the same journey so I guess it’s possible. OK others are waiting so I'll go - thanks for checking out the blog and please comment if you wish! a really bad road Posted Thursday, March 01, 2007 12:28 AM So today we took a really really bad road up a really really really steep hill (like my English major skills?). This road led to Laferme (or perhaps Ferme - we were never quite clear on the name of the village). Anyways the trip renewed my faith in development work. We accompanied an American doctor who is in the process of completing her MPH and starting a clinic in a very remote region of the mountains to a series of focus groups and interviews she is conducting as part of her capstone project in the School of Public Health at Johns Hopkins. Got to practice my translation skills as we struggled to keep up with the Creole. I couldn't blame the men and women she interviewed when they responded to her favorite question - "What would you do if you were the president of Haiti to improve the country?" - with "ROADS!". The roads here are truly unique - much much worse than anything I ever saw in West Africa - partially I think because all of the villages are perched on the sides of steep mountainsides and when it rains I can imagine the rivers that form down in these natural gullies. The Land Rovers we've been using seem to be able to negotiate just about anything - from washed out bridges to gulfs in the pavement that look like bomb blowout sites from old black and white pics of WWII. It’s not uncommon to view the skeleton of an old rusted Kia truck and other vehicles that couldn't cut it and now find themselves part of the flora and fauna that accompanies these miniature riverbeds. Before leaving the village they sent a child of about 8 scurrying up a 20+ meter tree to cut down fresh coconuts for us. We drank the milk and used a natural spoon to scoop out the tasty white interior. Then - miracle of miracles - they produced boiled eggs with sea salt! I had hardly touched my own packed lunch and my stomach was already full. I would say I was surprised by the generosity but so far it has been the norm here. | |
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