The Path Here: Nursing Then and Now

 

If you had met me five years ago, you would have never guessed I was a nurse. I managed a computer network group back then and I rarely mentioned my nursing background to even my closest friends. I left nursing back in the late 1980’s and for a very long time I was embarrassed to call myself a nurse.

I had been a good nurse, one of the best. I learned and applied all the latest technologies to my patients, from IV feedings to balloon pumps to SOAP charting and nursing care plans. Yet most of my ICU patients were not “fixed” by their treatment. Most of them died after a very expensive hospital stay. And worse yet, the treatments I gave caused many of my patients to suffer. I witnessed the failings of modern Western medicine up close; I watched patients held in limbo on the edge of death, only half alive. I watched patients suffer as they were separated from their loved ones by the very technology that was supposed to help them.

My nursing education had given me no framework to make sense of the pain and suffering I saw around me. The hospital where I worked was one of the best in the region and the nursing care I gave was state of the art. And yet I felt anger and a deep sadness within as I tried to care for patients the way I had been taught. I eventually left nursing and found a nice safe career in the computer field where the only thing that crashed and died was a poorly written computer program. When I left, I thought I put nursing behind me. But here I am back again.

Returning to nursing after more than a decade away was like peering down into a wild, raging river, seeing the whitewater and fast current and jumping in anyway. My friends and family looked at me in wonder and asked why was I going back? Health care is a mess, doctors and nurses are under constant fire and the nursing profession seems to be having an identity crisis. Plus, I earned twice as much money as a corporate manager. So, why did I return?

While I was away from nursing, I continued to search for meaning in all I had seen and experienced as an ICU nurse. My avocation became alternative healing modalities; Chinese medicine, herbal remedies, massage, acupuncture, spiritual healing. I read all the time about health and healing and became an avid student of mind-body medicine. I read studies on the power of guided imagery in fighting cancer, and on the power of prayer in helping open heart patients to heal. I learned how the simple act of massage helps premature infants to grow faster and thrive. A new world of healing possibilities slowly opened up to me.

As an ICU nurse I had focused on the physiology of the human body. Now I delved into the emotional and spiritual components of illness. I tried many of the alternative healing methods I read about, loved some and hated others. I went through a divorce, remarriage and a cleansing emotional healing of my own. And over time I began to miss nursing. At my core I was still a healer, a nurse, no matter how many computer programs I wrote.

So I finally came back to nursing. But I am not remotely the same nurse I was when I left in frustration years ago. My idea of what nursing is about has changed dramatically. I can still remember myself as a nurse, fresh out of nursing school. I remember believing then that “good” nursing was about mastering technology, understanding medication effects and curing an ailing physical body. My focus was on the disease and how it affected the physical body. Back then I thought nursing was science pure and simple; just apply the right technology or give the right medication and the patient would be fixed. It sounds a lot like car repair in retrospect. No messy emotional connection required or desired.

It’s been a long winding road for me. The shift in my definition of nursing has been gradual over many years. I cannot pinpoint when my idea of nursing actually mutated. Like the slow building of a sunset, my view of myself as a nurse has shifted moment by moment, experience by experience until today I look around to find that I am a totally different nurse.

Today I see nursing as more art than science. Nursing is not about passing meds and taking vitals for me. It is not about whiz-bang medical technology. And it is not about curing or fixing the physical body. Now nursing is about discovering how the emotions and the spirit of a person interact with their physical body. It is about connecting with a person and helping them to heal body, mind and spirit. And it is always personal and sometimes messy and emotional work. This time nursing is about relating to people one on one. It is about creating a healing space where the mind can rest and the body can heal. It is something I do with a person rather than to them.

Do I still find value in IV meds and CT scans and laparotomies? Absolutely. I also find value in meditation and prayer and acupuncture and herbs and the simple act of touch. I have come to believe that there are many paths to healing. True health is a balance of many factors; there is no one treatment, no silver bullet cure. Each person is unique and must find the balance of treatments, both conventional and alternative, that fits for them.

I have found my own balance. I have found a way to nurse that is uniquely mine and it gives me great joy. If you meet me today and ask me what I do for a living, I will smile and tell you proudly that I am a nurse. It is good to be back.

© 2002 Nancy Lankston

☾☽

Note: I wrote this essay 10 years ago and it’s been buried in my files for years. But My nursing buddy and sister of the heart, Megan, asked me to pull it out and share it. So, here it is. Unfortunately, most of what I say about hospitals and healthcare in the U.S. is still true in 2012. Here’s to changing it in my lifetime.

What’s Your Line?

If you were to choose one phrase that describes your life, what would it be?

What’s your Line?

 
These days, every corporation has something called a Tagline. A corporate Tagline is a short phrase that’s supposed to make all of us want to buy their product. Ideally, a Tagline is a catchy slogan that defines the business in a unique way. Think of Nike and “Just Do It”. Or Wheaties, “The Breakfast of Champions”. Join the U.S. Army and “Be All That You Can Be”. Remember DeBeers slogan; “A Diamond is Forever”? Of course you do! A great corporate Tagline is catchy and memorable.

Every person I meet has a personal Tagline, whether they realize it or not. The difference is your personal Tagline is not really about selling yourself. It’s more about consciously defining yourself and what you choose to create in your life. You may call it your creed, your motto, your philosophy of life. A consultant I know calls it defining your True North. Whatever – your have one whether you know it or not. EVERYBODY has one. Kids seem to absorb and live by their parents’ Tagline until they consciously create their own. So, even if you haven’t consciously thought about it, you have a Tagline buried in your psyche that is influencing how you look at life and what you think is possible for you.

So, I think it’s important for each of us to spend a few minutes thinking about what our personal tagline might be. I don’t know about you, but my parents’ tagline is DEFINITELY NOT the line that I want defining my life! My dad’s Tagline goes something like, “Life is a struggle. You have to work really hard just to survive.” Wow – what a downer! Can you tell he grew up poor and hungry in the depression? And in his late 60‘s, even after making piles of money, my dad would NOT stop working. Work defines his life – he has never created much room for hobbies or goofing off – or even traveling for pleasure. His motto doesn’t allow for much fun or ease in life, does it?

When we met, my husband’s tagline was, “Anything worth doing is worth overdoing.” Lucky for me his overdoing includes fun stuff and not just work! This man has taught me the value of having fun. And he’s a complete hedonist about food. 🙂 I actually think my hubby may have shifted his tagline a bit – he’s not quite so intense in his approach to work or play anymore. Maybe living with me all these years has mellowed him. LOL – He will find it hilarious that I’m wondering if I mellow HIM out!

Remember Dory from the movie Finding Nemo? Dory’s Tagline is:
“Just Keep Swimming, Just Keep Swimming.”

And who can forget Ferris Bueller In the movie, Ferris Bueller’s Day Off?? Ferris’ Tagline is one of my all time favorites. It’s funny, catchy, thought-provoking, irreverent… It truly catches the essence of who Ferris is:
“Life moves pretty fast. If you don’t stop and look around once in a while, you could miss it.”

Great words to live by.

・・・
So, what is YOUR Tagline? What phrase defines you and your philosophy about life? Is it the same as your mom’s or your dad’s? Or completely different?

And does your Tagline define the life you desire, the life you crave? Hopefully it doesn’t describe a life that’s not working for you!

What would happen if we each created a personal Tagline that describes the life we crave rather than a life we feel stuck with? What would shift inside our world then?? Food for thought…

I’m still crafting theTagline to define my life and my future. It’s a work in progress. I guess I REALLY should decide what I want to be when I grow up! But maybe a Tagline can change and morph over time – God knows I certainly keep changing with the years. Today I’m mulling over three or four possibilities;

I could keep using my favorite Joubert quote:
“You will find poetry nowhere unless you bring some of it with you.”

I could try my favorite Bill Murray (Tripper) line from the movie Meatballs:
“Repeat after me – it just doesn’t matter!”

Or how about something short and to the point:
“Life is Good”

Last but not least, I wonder what my life will be like if my line becomes:
“WoW – What’s Next?!”

The Wisdom of Dr M

 

I want to share an article I originally published two years ago. This piece is dedicated to an amazing healer named Dr. Armando Moreano. Dr. M taught me what true healing is all about…

Years ago I worked for a very wise doctor. He was a petite little man with a hot Latino temper. I learned a whole slew of Spanish cuss words from Dr. M. He’s been dead for more than 15 years, but he’s still one of the most amazing healers I have ever known.

Dr. M grew up in Ecuador; a tiny country in South America that is certainly not known for being at the forefront of medicine. But he learned much about the true essence of healing from watching his physician father treat patients with access to only the most basic equipment and medicines. And even after years of U.S. medical training and experience, he managed to maintain an intuitive sense of how to help his patients heal; simple yet profound treatments were the rule. Nothing very complicated; not much in the way of whiz bang technology; just the basics delivered with love and compassion. His patients adored him – they sensed they were in good hands.

My boss knew all about his patients and their families; he would quiz them about their love lives, their jobs, their mothers – no question was off limits. I sometimes found his questions bizarre and intrusive. I was young and did not yet understand that he asked those questions because he sensed that his patients emotional and spiritual health directly affected their physical health.

I wish Dr. M were still here with us training this generation of doctors. How wonderful to have a doctor who remembers me and asks me about my love life and my family! All those nosey questions that used to embarrass me now seem crucial to quality health care. How can a doctor care for you adequately if she doesn’t know anything about you except a few facts listed in your chart? But that’s another subject entirely.

Dr. M was opinionated and not at all shy about expressing himself. He would go on and on about how preservatives in food were at the root of many health problems; he blamed everything from cancer and diabetes to arthritis and heart disease on artificial chemicals in our food. He liked to deliver his dire pronouncement about American food and health while standing in his office smoking a cigarette and drinking a diet Coke. This made his argument seem especially poignant.

My boss was a great example of the old adage that the most difficult patient for any healer to heal is himself. His father had died suddenly when Dr. M was still young. He never got to say good-bye to his dad and it obviously still grieved him deeply 20 years later. Add to that being caught in the middle of constant arguments between his wife and mother and Dr. M’s smoking made perfect sense. But back then I just thought he was weak for not being able to quit smoking. That was decades before terms such as emotional eating, stress related illness and PTSD became mainstream. Today the research on the link between emotional upset and illness grows every day. And as I try to give up my own chai habit, I realize first hand just how emotionally loaded our food and drug choices can be!

When Dr. M would jump on his bandwagon and lament the sorry state of American food, I would roll my eyes and try to change the subject. I was a know-it-all twenty something, fresh out of college; I really loved my candy and junk food; my boss just seemed like an eccentric old man to me. He actually reminded me of a college chemistry professor I had who would go on and on about the dangers of fluoride in tap water. Now I realize just how wise both of them were…Today, years later I am the one lamenting the sorry state of American food.

Our food has not improved in 20 years. If anything it has gotten worse. The grocery store has aisle after aisle of food, kept “fresh” with preservatives such as BHA, BHT and MSG. Europeans want nothing to do with our mi lk and cheese because we continue to feed our cows bovine growth hormones. How can we give growing school children milk laced with those hormones?!

The ingredients labels on many foods read like a chemistry experiment. It actually is a big chemistry experiment; put preservatives in our food to increase the shelf-life and assure us that all those chemicals are “fine”; they won’t do us any harm. Wait 20 years and see what happens. Sounds a bit like the instructions for instant soup; just add hot water and wait a bit. Only this time the results can be way more serious than soggy noodles!

This crotchety old nurse has gotten a bandwagon of her own and it is called Avoid Artificial Dyes and Preservatives. Twenty years after Dr. M tried to tell me and anyone else who would listen, I am now trying to tell you. My wise old doctor boss was absolutely right – what you eat can either nourish you or kill you; choose wisely. Do not assume that just because they sell it in a grocery store that it is good for you!

Those of you who have known me a while have heard all of this before. My husband calls it Nancy’s rant #1A. And yes, I actually do get red in the face and rant about this on occasion just like my wild Latino boss used to. Dr. M has passed his baton to me. : -)) I rant and I push my opinions about food. And I will continue to rant because your health is worth it.

What You Can Do:
1. READ LABELS; know what is in the food that you feed yourself and your family.
2. AVOID ARTIFICIAL PRESERVATIVES & DYES; Artificial chemicals are NOT food and they CAN hurt you. It may take 20-30 years, but these chemicals can make you sick and even kill you. And watch out for preservatives and dyes in lotions, makeup and hair-care products as well.
3. AVOID FOOD THAT HAS BEEN PROCESSED OR MANIPULATED TO MAKE IT LAST LONGER. Long shelf life does not mean high quality. In general, the more processed a food is, the less nutritious it is. For example, avoid oils that have been refined with chemicals and heat. Buy cold pressed oils instead.
4. BUY THE FRESHEST FOOD YOU CAN AFFORD. Cheap food can cost you your health. It is NOT worth it.

I hope you will take a cue from Dr. M; please protect your body from chemicals that can hurt you.